Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.49 / $714.55 / $2,080.84	Facility		$630.49	$714.55	$2,080.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.49 / $689.33 / $714.55	Professional		$630.49	$689.33	$714.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,192.79 / $4,093.97 / $5,170.00	Facility		$3,192.79	$4,093.97	$5,170.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $508.59	Professional		$336.26	$336.26	$508.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $2,430.40 / $4,306.01	Facility		$546.41	$2,430.40	$4,306.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.26 / $966.01 / $1,207.51	Professional		$350.26	$966.01	$1,207.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,008.78 / $1,050.81 / $1,244.16	Professional		$1,008.78	$1,050.81	$1,244.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $554.83 / $840.65	Facility		$504.39	$554.83	$840.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $689.33 / $689.33 / $840.65	Professional		$689.33	$689.33	$840.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.46 / $975.15 / $2,052.87	Facility		$588.46	$975.15	$2,052.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $588.46 / $975.15 / $2,052.87	Professional		$588.46	$975.15	$2,052.87
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $420.33 / $840.65	Professional		$353.07	$420.33	$840.65