Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.13 / $673.35 / $1,757.44	Facility		$594.13	$673.35	$1,757.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.13 / $649.58 / $673.35	Professional		$594.13	$649.58	$673.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,008.66 / $3,857.87 / $4,871.85	Facility		$3,008.66	$3,857.87	$4,871.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $201.36 / $410.34	Professional		$201.36	$201.36	$410.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.91 / $3,231.80 / $4,057.73	Facility		$514.91	$3,231.80	$4,057.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.25 / $910.25 / $1,137.82	Professional		$910.25	$910.25	$1,137.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $950.60 / $990.21 / $1,172.41	Professional		$950.60	$990.21	$1,172.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $530.75 / $641.66 / $982.29	Facility		$530.75	$641.66	$982.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $649.58 / $649.58 / $792.17	Professional		$649.58	$649.58	$792.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $514.91 / $871.39 / $1,647.48	Facility		$514.91	$871.39	$1,647.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $514.91 / $911.00 / $1,740.40	Professional		$514.91	$911.00	$1,740.40
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $396.09 / $792.17	Professional		$332.71	$396.09	$792.17