Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,442.48 / $2,340.80	Facility		$570.00	$1,442.48	$2,340.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $623.20 / $646.00	Professional		$570.00	$623.20	$646.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,886.48 / $3,701.20 / $4,674.00	Facility		$2,886.48	$3,701.20	$4,674.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $455.24	Professional		$304.00	$304.00	$455.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.52 / $1,420.11 / $3,893.34	Facility		$499.52	$1,420.11	$3,893.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $873.50 / $1,091.86	Professional		$316.64	$873.50	$1,091.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $950.00 / $1,124.80	Professional		$912.00	$950.00	$1,124.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $498.79 / $615.60 / $919.60	Facility		$498.79	$615.60	$919.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $623.20 / $760.00 / $1,596.00	Professional		$623.20	$760.00	$1,596.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $684.00 / $1,013.08	Facility		$380.00	$684.00	$1,013.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $684.00 / $1,013.08	Professional		$380.00	$684.00	$1,013.08
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $912.00 / $912.00	Facility		$912.00	$912.00	$912.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $380.00 / $760.00	Professional		$319.20	$380.00	$760.00