Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,412.54 / $1,862.09	Facility		$562.34	$1,412.54	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $758.58	Professional		$501.19	$575.44	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $4,677.35	Facility		$3,019.95	$3,890.45	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $562.34	Professional		$338.84	$338.84	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,862.09 / $3,801.89	Facility		$758.58	$1,862.09	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $870.96 / $1,071.52	Professional		$309.03	$870.96	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,122.02	Professional		$758.58	$891.25	$1,122.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $870.96	Facility		$446.68	$588.84	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,584.89	Professional		$616.60	$616.60	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $851.14 / $1,905.46	Facility		$524.81	$851.14	$1,905.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,905.46	Professional		$524.81	$851.14	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $758.58 / $891.25	Facility		$316.23	$758.58	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $562.34	Professional		$316.23	$338.84	$562.34