Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $3,645.00 / $8,294.00	Facility		$1,088.00	$3,645.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $591.58 / $640.39 / $1,521.73	Facility	54	$591.58	$640.39	$1,521.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $859.66	Facility		$572.00	$572.00	$859.66
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $596.32 / $596.32 / $596.32	Facility	54	$596.32	$596.32	$596.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.38 / $924.65 / $1,087.52	Professional		$722.38	$924.65	$1,087.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $779.18 / $999.00 / $1,443.45	Facility		$779.18	$999.00	$1,443.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $754.35 / $991.73 / $1,867.94	Facility		$754.35	$991.73	$1,867.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00