Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.05 / $2,004.00 / $6,827.70	Facility		$419.05	$2,004.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $311.36 / $314.29 / $739.13	Facility	54	$311.36	$314.29	$739.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $449.73	Facility		$420.00	$420.00	$449.73
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $313.17 / $313.17 / $313.17	Facility	54	$313.17	$313.17	$313.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.40 / $489.03 / $577.94	Professional		$380.40	$489.03	$577.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $357.94 / $482.96 / $702.48	Facility		$357.94	$482.96	$702.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $370.00 / $478.24 / $959.47	Facility		$370.00	$478.24	$959.47
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