Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.66 / $3,116.00 / $8,582.00	Facility		$409.66	$3,116.00	$8,582.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $111.08 / $112.27 / $1,692.00	Facility	52	$111.08	$112.27	$1,692.00
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 $219.76 / $789.83 / $1,140.85	Facility		$219.76	$789.83	$1,140.85
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $172.10 / $172.10	Facility	52	$172.10	$172.10	$172.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $228.14 / $445.91	Professional		$183.03	$228.14	$445.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.95 / $288.30 / $406.53	Facility		$204.95	$288.30	$406.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $209.63 / $275.25 / $465.30	Facility		$209.63	$275.25	$465.30
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00