Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $927.36 / $1,381.60	Facility		$30.00	$927.36	$1,381.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $1,280.64	Professional		$30.00	$40.00	$1,280.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.40 / $1,086.40 / $1,224.00	Professional		$1,086.40	$1,086.40	$1,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.00 / $1,050.00 / $1,365.00	Professional		$735.00	$1,050.00	$1,365.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $1,136.00 / $1,440.00	Professional		$672.00	$1,136.00	$1,440.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $2,460.00 / $3,184.32	Facility		$48.03	$2,460.00	$3,184.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,024.00 / $1,088.00 / $1,264.00	Professional		$1,024.00	$1,088.00	$1,264.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $64.00 / $96.82	Facility		$23.66	$64.00	$96.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $64.00 / $93.44	Professional		$23.57	$64.00	$93.44
United Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $60.00 / $83.35	Professional		$45.99	$60.00	$83.35