Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $4,246.20 / $9,550.77	Facility		$356.93	$4,246.20	$9,550.77
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $141.11 / $141.11 / $332.70	Facility	52	$141.11	$141.11	$332.70
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 $290.89 / $988.00 / $1,568.92	Facility		$290.89	$988.00	$1,568.92
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $232.05 / $232.05 / $232.05	Facility	52	$232.05	$232.05	$232.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.21 / $309.01 / $438.32	Professional		$247.21	$309.01	$438.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $268.27 / $342.18 / $515.41	Facility		$268.27	$342.18	$515.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $257.07 / $326.73 / $596.21	Facility		$257.07	$326.73	$596.21
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00