Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $3,633.00 / $9,918.00	Facility		$22.01	$3,633.00	$9,918.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $10.91 / $11.01 / $26.29	Facility	52	$10.91	$11.01	$26.29
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 $21.59 / $509.74 / $617.00	Facility		$21.59	$509.74	$617.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.70 / $16.70 / $16.70	Facility	52	$16.70	$16.70	$16.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $22.26 / $43.52	Professional		$18.07	$22.26	$43.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $30.18 / $49.00	Facility		$21.25	$30.18	$49.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $30.75 / $46.62	Facility		$21.33	$30.75	$46.62
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