Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.19 / $4,796.00 / $10,767.00	Facility		$961.19	$4,796.00	$10,767.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $480.60 / $480.60 / $1,151.17	Facility	52	$480.60	$480.60	$1,151.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $967.73	Facility		$490.00	$610.00	$967.73
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $785.53 / $970.36 / $1,393.92	Professional		$785.53	$970.36	$1,393.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $859.39 / $1,090.34 / $1,624.41	Facility		$859.39	$1,090.34	$1,624.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $811.10 / $1,037.53 / $1,873.09	Facility		$811.10	$1,037.53	$1,873.09
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,928.00 / $5,445.00	Facility		$425.00	$2,928.00	$5,445.00