Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,584.89 / $2,089.30	Facility		$630.96	$1,584.89	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $794.33	Professional		$562.34	$630.96	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $5,248.07	Facility		$3,388.44	$4,365.16	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,047.13	Professional		$512.86	$851.14	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,621.81 / $4,265.80	Facility		$549.54	$1,621.81	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $954.99 / $1,202.26	Professional		$346.74	$954.99	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,230.27	Professional		$831.76	$1,000.00	$1,230.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $676.08 / $977.24	Facility		$501.19	$676.08	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,778.28	Professional		$691.83	$691.83	$1,778.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $2,137.96	Facility		$588.84	$954.99	$2,137.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,737.80	Professional		$588.84	$954.99	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $831.76 / $1,000.00	Facility		$354.81	$831.76	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $630.96	Professional		$354.81	$380.19	$630.96