Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.17 / $3,469.00 / $8,294.00	Facility		$648.17	$3,469.00	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $182.08 / $185.17 / $441.76	Facility	52	$182.08	$185.17	$441.76
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $72.83 / $74.06 / $176.70	Facility	53	$72.83	$74.06	$176.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.56 / $610.00 / $2,110.51	Facility		$362.56	$610.00	$2,110.51
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $374.66 / $565.40	Professional		$300.99	$374.66	$565.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $337.72 / $454.50 / $666.39	Facility		$337.72	$454.50	$666.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $338.32 / $437.82 / $758.61	Facility		$338.32	$437.82	$758.61
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,978.00 / $12,680.00	Facility		$908.00	$5,978.00	$12,680.00