Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.18 / $1,465.22 / $1,910.86	Facility		$656.18	$1,465.22	$1,910.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.99 / $656.18 / $656.18	Professional		$578.99	$656.18	$656.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,931.98 / $3,759.54 / $4,747.68	Facility		$2,931.98	$3,759.54	$4,747.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.79 / $308.79 / $462.41	Professional		$308.79	$308.79	$462.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.79 / $1,436.75 / $3,955.41	Facility		$501.79	$1,436.75	$3,955.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.64 / $887.12 / $1,108.91	Professional		$321.64	$887.12	$1,108.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.38 / $964.98 / $1,142.53	Professional		$926.38	$964.98	$1,142.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $602.14 / $887.78	Facility		$463.18	$602.14	$887.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $633.02 / $771.98 / $1,621.16	Professional		$633.02	$771.98	$1,621.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $540.39 / $895.50 / $1,885.18	Facility		$540.39	$895.50	$1,885.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $539.61 / $897.66 / $1,572.52	Professional		$539.61	$897.66	$1,572.52
United Facility/Professional Professional Modifier Low / Median / High Price $324.23 / $385.99 / $771.98	Professional		$324.23	$385.99	$771.98