Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $1,423.50 / $1,856.46	Facility		$562.50	$1,423.50	$1,856.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.50 / $615.00 / $637.50	Professional		$562.50	$615.00	$637.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,848.50 / $3,652.50 / $4,612.50	Facility		$2,848.50	$3,652.50	$4,612.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $388.50	Professional		$10.73	$10.73	$388.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $2,167.87 / $3,841.36	Facility		$487.50	$2,167.87	$3,841.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.49 / $861.93 / $1,077.41	Professional		$312.49	$861.93	$1,077.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $937.50 / $1,110.00	Professional		$900.00	$937.50	$1,110.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $585.00 / $862.50	Facility		$450.00	$585.00	$862.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $750.00 / $1,575.00	Professional		$615.00	$750.00	$1,575.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $890.48 / $4,071.00	Facility		$525.00	$890.48	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $890.48 / $4,071.00	Professional		$525.00	$890.48	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $375.00 / $750.00	Professional		$315.00	$375.00	$750.00