Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.99 / $3,248.00 / $8,003.00	Facility		$385.99	$3,248.00	$8,003.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.62 / $381.97 / $733.52	Facility	54	$255.62	$381.97	$733.52
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 $537.13 / $537.13 / $537.13	Facility		$537.13	$537.13	$537.13
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.99 / $375.99 / $375.99	Facility	54	$375.99	$375.99	$375.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.81 / $571.12 / $679.90	Professional		$505.81	$571.12	$679.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $306.42 / $459.58 / $667.17	Facility		$306.42	$459.58	$667.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $306.72 / $405.27 / $1,328.69	Facility		$306.72	$405.27	$1,328.69
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00