Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.47 / $2,561.00 / $8,294.00	Facility		$767.47	$2,561.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $536.84 / $575.60 / $1,364.94	Facility	54	$536.84	$575.60	$1,364.94
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 $420.00 / $420.00 / $778.31	Facility		$420.00	$420.00	$778.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $541.79 / $541.79 / $541.79	Facility	54	$541.79	$541.79	$541.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.38 / $837.61 / $987.42	Professional		$654.38	$837.61	$987.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $701.12 / $898.55 / $1,309.88	Facility		$701.12	$898.55	$1,309.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $641.03 / $872.29 / $1,509.40	Facility		$641.03	$872.29	$1,509.40
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00