Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.65 / $3,469.00 / $8,294.00	Facility		$130.65	$3,469.00	$8,294.00
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 $120.00 / $610.00 / $1,572.88	Facility		$120.00	$610.00	$1,572.88
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.25 / $94.25 / $94.25	Facility	52	$94.25	$94.25	$94.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $125.58 / $247.83	Professional		$100.46	$125.58	$247.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.69 / $141.36 / $201.04	Facility		$109.69	$141.36	$201.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.01 / $134.63 / $243.80	Facility		$106.01	$134.63	$243.80
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