Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.28 / $2,442.00 / $6,827.70	Facility		$399.28	$2,442.00	$6,827.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $131.44 / $133.43 / $318.11	Facility	52	$131.44	$133.43	$318.11
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 $260.75 / $789.83 / $1,140.85	Facility		$260.75	$789.83	$1,140.85
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.70 / $271.39 / $493.80	Professional		$217.70	$271.39	$493.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.72 / $345.96 / $481.11	Facility		$246.72	$345.96	$481.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $247.47 / $332.23 / $549.22	Facility		$247.47	$332.23	$549.22
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