Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.89 / $4,032.00 / $8,920.00	Facility		$404.89	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $404.89 / $922.04	Professional		$294.39	$404.89	$922.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.17 / $776.55 / $10,056.00	Facility		$509.17	$776.55	$10,056.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.57 / $554.44 / $916.65	Professional		$433.57	$554.44	$916.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $919.07	Facility		$640.00	$640.00	$919.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,786.10 / $2,786.10 / $2,786.10	Professional		$2,786.10	$2,786.10	$2,786.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.96 / $760.05 / $879.06	Professional		$593.96	$760.05	$879.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $404.89 / $611.65 / $1,103.83	Facility		$404.89	$611.65	$1,103.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,482.00 / $1,900.78 / $2,043.00	Professional		$1,482.00	$1,900.78	$2,043.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $452.37 / $922.81 / $2,182.69	Facility		$452.37	$922.81	$2,182.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $452.37 / $922.81 / $2,182.69	Professional		$452.37	$922.81	$2,182.69
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.46 / $536.87 / $849.68	Professional		$336.46	$536.87	$849.68