Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.17 / $3,912.00 / $8,920.00	Facility		$290.17	$3,912.00	$8,920.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $142.24 / $145.09 / $347.14	Facility	52	$142.24	$145.09	$347.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $56.89 / $58.03 / $138.86	Facility	53	$56.89	$58.03	$138.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $610.00 / $1,035.00	Facility		$283.45	$610.00	$1,035.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $281.33 / $415.14	Professional		$234.45	$281.33	$415.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.53 / $342.93 / $480.75	Facility		$254.53	$342.93	$480.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $262.80 / $349.80 / $606.77	Facility		$262.80	$349.80	$606.77
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