Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $347.76 / $518.10	Facility		$30.00	$347.76	$518.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $480.24	Professional		$30.00	$40.00	$480.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.00 / $1,121.00 / $1,464.15	Professional		$1,121.00	$1,121.00	$1,464.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $350.00 / $455.00	Professional		$245.00	$350.00	$455.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $426.00 / $540.00	Professional		$252.00	$426.00	$540.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $2,460.00 / $3,184.32	Facility		$48.03	$2,460.00	$3,184.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $803.00 / $1,410.00	Professional		$408.00	$803.00	$1,410.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $64.00 / $93.44	Facility		$23.57	$64.00	$93.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $64.00 / $93.44	Professional		$23.57	$64.00	$93.44
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $83.35	Professional		$45.00	$60.00	$83.35