Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.40 / $6,470.00 / $14,798.00	Facility		$995.40	$6,470.00	$14,798.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $512.17 / $512.17 / $1,552.53	Facility	54	$512.17	$512.17	$1,552.53
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 $872.76 / $872.76 / $872.76	Facility		$872.76	$872.76	$872.76
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $610.67 / $610.67 / $610.67	Facility	54	$610.67	$610.67	$610.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $726.21 / $854.37 / $1,100.99	Professional		$726.21	$854.37	$1,100.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $696.68 / $950.51 / $1,522.53	Facility		$696.68	$950.51	$1,522.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $669.53 / $966.10 / $7,420.00	Facility		$669.53	$966.10	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00