Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.34 / $3,645.00 / $8,294.00	Facility		$245.34	$3,645.00	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $80.56 / $81.65 / $194.67	Facility	52	$80.56	$81.65	$194.67
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 $160.19 / $789.83 / $1,140.85	Facility		$160.19	$789.83	$1,140.85
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $167.05 / $326.74	Professional		$133.63	$167.05	$326.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $200.41 / $298.83	Facility		$149.72	$200.41	$298.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $194.18 / $338.73	Facility		$150.01	$194.18	$338.73
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