Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.30 / $998.78 / $1,302.58	Facility		$447.30	$998.78	$1,302.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.67 / $447.30 / $447.30	Professional		$394.67	$447.30	$447.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,998.62 / $2,562.73 / $3,236.31	Facility		$1,998.62	$2,562.73	$3,236.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $272.58	Professional		$69.92	$69.92	$272.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.05 / $979.50 / $2,695.65	Facility		$342.05	$979.50	$2,695.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $604.63 / $755.79	Professional		$219.25	$604.63	$755.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.48 / $657.79 / $778.82	Professional		$631.48	$657.79	$778.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $315.72 / $410.46 / $605.16	Facility		$315.72	$410.46	$605.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $431.51 / $526.23 / $1,105.08	Professional		$431.51	$526.23	$1,105.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $368.36 / $610.42 / $1,285.05	Facility		$368.36	$610.42	$1,285.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $367.83 / $611.90 / $1,071.93	Professional		$367.83	$611.90	$1,071.93
United Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $263.12 / $394.67	Professional		$221.02	$263.12	$394.67