Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,584.89 / $2,951.21	Facility		$575.44	$1,584.89	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $724.44	Professional		$512.86	$575.44	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,981.07 / $4,786.30	Facility		$3,019.95	$3,981.07	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $512.86	Professional		$302.00	$302.00	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,479.11 / $3,467.37	Facility		$537.03	$1,479.11	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $870.96 / $1,096.48	Professional		$316.23	$870.96	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,122.02	Professional		$758.58	$912.01	$1,122.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $616.60 / $912.01	Facility		$501.19	$616.60	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,584.89	Professional		$616.60	$758.58	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $741.31 / $1,023.29	Facility		$489.78	$741.31	$1,023.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,023.29	Professional		$489.78	$741.31	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $758.58 / $912.01	Facility		$316.23	$758.58	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $575.44	Professional		$316.23	$338.84	$575.44