Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $3,633.00 / $8,294.00	Facility		$45.94	$3,633.00	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.79 / $22.97 / $54.98	Facility	52	$22.79	$22.97	$54.98
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.11 / $9.19 / $21.99	Facility	53	$9.11	$9.19	$21.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $193.51 / $238.21	Facility		$45.46	$193.51	$238.21
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $46.50 / $135.86	Professional		$37.61	$46.50	$135.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.52 / $54.96 / $81.75	Facility		$41.52	$54.96	$81.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $52.92 / $98.02	Facility		$41.00	$52.92	$98.02
United Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $724.00 / $2,350.00	Facility		$109.00	$724.00	$2,350.00