Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.59 / $4,032.00 / $8,920.00	Facility		$988.59	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.96 / $988.59 / $988.59	Professional		$361.96	$988.59	$988.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.29 / $265.08 / $449.84	Professional		$207.29	$265.08	$449.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.29 / $434.29 / $640.00	Facility		$434.29	$434.29	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.56 / $1,808.56 / $1,808.56	Professional		$1,808.56	$1,808.56	$1,808.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.79 / $465.50 / $538.41	Professional		$363.79	$465.50	$538.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $346.52 / $840.30 / $1,505.62	Facility		$346.52	$840.30	$1,505.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $500.11 / $634.20 / $898.18	Professional		$500.11	$634.20	$898.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $369.57 / $489.37 / $907.36	Facility		$369.57	$489.37	$907.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $369.57 / $489.37 / $907.36	Professional		$369.57	$489.37	$907.36
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 $311.10 / $501.64 / $780.46	Professional		$311.10	$501.64	$780.46