Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.50 / $1,803.10 / $2,926.00	Facility		$712.50	$1,803.10	$2,926.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $779.00 / $807.50	Professional		$712.50	$779.00	$807.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $4,626.50	Facility		$950.00	$950.00	$4,626.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $336.26	Professional		$336.26	$336.26	$336.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.39 / $1,775.14 / $4,866.27	Facility		$624.39	$1,775.14	$4,866.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.82 / $1,091.56 / $1,364.45	Professional		$395.82	$1,091.56	$1,364.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,140.00 / $1,187.50 / $1,406.00	Professional		$1,140.00	$1,187.50	$1,406.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $623.49 / $769.50 / $1,149.50	Facility		$623.49	$769.50	$1,149.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $779.00 / $950.00 / $1,995.00	Professional		$779.00	$950.00	$1,995.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $617.50 / $1,104.66 / $3,944.59	Facility		$617.50	$1,104.66	$3,944.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $617.50 / $1,127.94 / $3,944.59	Professional		$617.50	$1,127.94	$3,944.59
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $475.00 / $950.00	Professional		$399.00	$475.00	$950.00