Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $1,289.69 / $5,743.00	Facility		$243.89	$1,289.69	$5,743.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.68 / $148.24 / $315.95	Facility	53	$35.68	$148.24	$315.95
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 $263.52 / $497.08 / $1,035.00	Facility		$263.52	$497.08	$1,035.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.94 / $369.36 / $583.94	Professional		$298.94	$369.36	$583.94
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $298.94 / $358.73 / $451.30	Professional	53	$298.94	$358.73	$451.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.42 / $329.30 / $554.97	Facility		$178.42	$329.30	$554.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $219.72 / $374.75	Facility		$164.84	$219.72	$374.75
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