Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.75 / $762.45 / $2,220.33	Facility		$672.75	$762.45	$2,220.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.75 / $735.54 / $762.45	Professional		$672.75	$735.54	$762.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,406.81 / $4,368.39 / $5,516.55	Facility		$3,406.81	$4,368.39	$5,516.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $464.64	Professional		$10.28	$10.28	$464.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.04 / $2,593.02 / $4,594.54	Facility		$583.04	$2,593.02	$4,594.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.74 / $1,030.84 / $1,288.56	Professional		$373.74	$1,030.84	$1,288.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,076.40 / $1,121.25 / $1,327.56	Professional		$1,076.40	$1,121.25	$1,327.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $592.02 / $897.00	Facility		$538.20	$592.02	$897.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $735.54 / $735.54 / $897.00	Professional		$735.54	$735.54	$897.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $627.90 / $1,040.52 / $2,190.46	Facility		$627.90	$1,040.52	$2,190.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $627.90 / $1,040.52 / $2,190.46	Professional		$627.90	$1,040.52	$2,190.46
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $448.50 / $672.75	Professional		$376.74	$448.50	$672.75