Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $1,366.56 / $1,782.21	Facility		$612.00	$1,366.56	$1,782.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $612.00 / $612.00	Professional		$540.00	$612.00	$612.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,734.56 / $3,506.40 / $4,428.00	Facility		$2,734.56	$3,506.40	$4,428.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $431.28	Professional		$228.90	$228.90	$431.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $2,081.67 / $3,688.70	Facility		$468.00	$2,081.67	$3,688.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.99 / $827.24 / $1,034.05	Professional		$299.99	$827.24	$1,034.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $900.00 / $1,065.59	Professional		$864.00	$900.00	$1,065.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $561.60 / $828.00	Facility		$432.00	$561.60	$828.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $590.40 / $720.00 / $1,512.00	Professional		$590.40	$720.00	$1,512.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $854.86 / $4,071.00	Facility		$504.00	$854.86	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $854.86 / $4,071.00	Professional		$504.00	$854.86	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $720.00 / $1,080.00	Facility		$648.00	$720.00	$1,080.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $360.00 / $540.00	Professional		$302.39	$360.00	$540.00