Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,380.38 / $1,778.28	Facility		$537.03	$1,380.38	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $691.83	Professional		$478.63	$537.03	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $4,466.84	Facility		$2,884.03	$3,801.89	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $436.52	Professional		$229.09	$229.09	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,778.28 / $3,715.35	Facility		$741.31	$1,778.28	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $831.76 / $1,023.29	Professional		$302.00	$831.76	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,071.52	Professional		$724.44	$870.96	$1,071.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $562.34 / $831.76	Facility		$436.52	$562.34	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,513.56	Professional		$588.84	$588.84	$1,513.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $10,000.00	Facility		$501.19	$870.96	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $10,000.00	Professional		$501.19	$891.25	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $724.44 / $870.96	Facility		$302.00	$724.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $537.03	Professional		$302.00	$323.59	$537.03