Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.57 / $3,991.00 / $8,920.00	Facility		$332.57	$3,991.00	$8,920.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $164.43 / $166.29 / $397.01	Facility	52	$164.43	$166.29	$397.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.48 / $925.00 / $4,727.45	Facility		$325.48	$925.00	$4,727.45
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $254.41 / $254.41 / $254.41	Facility	52	$254.41	$254.41	$254.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $324.24 / $525.00	Professional		$270.20	$324.24	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $296.97 / $407.79 / $562.04	Facility		$296.97	$407.79	$562.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $322.30 / $419.10 / $686.85	Facility		$322.30	$419.10	$686.85
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