Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,047.13 / $1,995.26	Facility		$380.19	$1,047.13	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $478.63	Professional		$338.84	$380.19	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,000.00	Facility		$501.19	$501.19	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $338.84	Professional		$199.53	$199.53	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $977.24 / $2,290.87	Facility		$354.81	$977.24	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $524.81 / $660.69	Professional		$208.93	$524.81	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $741.31	Professional		$501.19	$602.56	$741.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $676.08	Facility		$251.19	$416.87	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,047.13	Professional		$323.59	$501.19	$1,047.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $457.09 / $691.83	Facility		$309.03	$457.09	$691.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $691.83	Professional		$309.03	$457.09	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $501.19 / $602.56	Facility		$177.83	$501.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $380.19	Professional		$213.80	$229.09	$380.19