Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.33 / $1,346.00 / $8,294.00	Facility		$132.33	$1,346.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $75.20 / $99.25 / $184.31	Facility	54	$75.20	$99.25	$184.31
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 $160.71 / $160.71 / $160.71	Facility		$160.71	$160.71	$160.71
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $112.50 / $112.50 / $112.50	Facility	54	$112.50	$112.50	$112.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.86 / $158.63 / $187.49	Professional		$122.86	$158.63	$187.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.09 / $135.36 / $216.18	Facility		$96.09	$135.36	$216.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.97 / $116.48 / $558.39	Facility		$89.97	$116.48	$558.39
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