Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.75 / $1,864.00 / $8,294.00	Facility		$113.75	$1,864.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $196.43 / $610.00	Facility		$74.45	$196.43	$610.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.89 / $14.89 / $14.89	Facility	53	$14.89	$14.89	$14.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.57 / $220.71 / $315.93	Professional		$176.57	$220.71	$315.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.35 / $117.43 / $284.97	Facility		$54.35	$117.43	$284.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.25 / $75.44 / $133.62	Facility		$56.25	$75.44	$133.62
United Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $1,560.00 / $3,499.00	Facility		$250.00	$1,560.00	$3,499.00