Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.49 / $1,595.55 / $2,080.84	Facility		$630.49	$1,595.55	$2,080.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.49 / $689.33 / $714.55	Professional		$630.49	$689.33	$714.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,192.79 / $4,093.97 / $5,170.00	Facility		$3,192.79	$4,093.97	$5,170.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.03 / $846.27 / $846.27	Professional		$617.03	$846.27	$846.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $1,564.78 / $4,306.01	Facility		$546.41	$1,564.78	$4,306.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.26 / $966.01 / $1,207.51	Professional		$350.26	$966.01	$1,207.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,008.78 / $1,050.81 / $1,244.16	Professional		$1,008.78	$1,050.81	$1,244.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $655.71 / $966.75	Facility		$504.39	$655.71	$966.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $689.33 / $840.65 / $1,765.37	Professional		$689.33	$840.65	$1,765.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.46 / $975.15 / $2,052.87	Facility		$588.46	$975.15	$2,052.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $587.61 / $977.51 / $1,712.40	Professional		$587.61	$977.51	$1,712.40
United Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $840.65 / $1,008.78	Facility		$504.39	$840.65	$1,008.78
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $420.33 / $630.49	Professional		$353.07	$420.33	$630.49