Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,258.93 / $1,621.81	Facility		$501.19	$1,258.93	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $630.96	Professional		$446.68	$501.19	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $4,168.69	Facility		$2,630.27	$3,467.37	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $407.38	Professional		$12.30	$12.30	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,584.89 / $3,388.44	Facility		$426.58	$1,584.89	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $954.99	Professional		$758.58	$758.58	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $977.24	Professional		$660.69	$794.33	$977.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $549.54 / $794.33	Facility		$446.68	$549.54	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $660.69 / $1,513.56	Facility		$467.74	$660.69	$1,513.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,584.89	Professional		$467.74	$724.44	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $660.69 / $794.33	Facility		$275.42	$660.69	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $501.19	Professional		$275.42	$295.12	$501.19