Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.53 / $5,669.80 / $21,562.00	Facility		$576.53	$5,669.80	$21,562.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $244.29 / $288.27 / $671.93	Facility	52	$244.29	$288.27	$671.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $97.71 / $115.31 / $268.77	Facility	53	$97.71	$115.31	$268.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,195.00 / $14,289.00 / $15,398.00	Facility		$11,195.00	$14,289.00	$15,398.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,495.00 / $14,985.00 / $40,100.00	Facility		$8,495.00	$14,985.00	$40,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.32 / $578.78 / $713.83	Professional		$482.32	$578.78	$713.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $488.57 / $693.77 / $974.34	Facility		$488.57	$693.77	$974.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $521.09 / $695.46 / $16,145.00	Facility		$521.09	$695.46	$16,145.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $15,105.00 / $28,517.00	Facility		$8,367.00	$15,105.00	$28,517.00