Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $2,561.00 / $8,294.00	Facility		$812.00	$2,561.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $390.60 / $412.48 / $973.54	Facility	54	$390.60	$412.48	$973.54
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 / $566.54	Facility		$420.00	$420.00	$566.54
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $394.33 / $394.33 / $394.33	Facility	54	$394.33	$394.33	$394.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.26 / $613.84 / $725.45	Professional		$479.26	$613.84	$725.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.47 / $627.25 / $921.78	Facility		$467.47	$627.25	$921.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $626.66 / $1,683.00	Facility		$453.24	$626.66	$1,683.00
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