Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.84 / $5,087.00 / $8,920.00	Facility		$450.84	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $403.03 / $450.84	Professional		$263.39	$403.03	$450.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $80.70 / $312.14	Professional		$0.02	$80.70	$312.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.06 / $309.06 / $309.06	Facility		$309.06	$309.06	$309.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.94 / $1,290.94 / $1,290.94	Professional		$1,290.94	$1,290.94	$1,290.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.37 / $307.49 / $389.03	Professional		$261.37	$307.49	$389.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $264.64 / $424.24 / $676.26	Facility		$264.64	$424.24	$676.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $415.56 / $557.00 / $715.00	Professional		$415.56	$557.00	$715.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $326.91 / $497.98 / $1,578.00	Facility		$326.91	$497.98	$1,578.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $326.91 / $497.98 / $1,578.00	Professional		$326.91	$497.98	$1,578.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $833.00 / $2,375.00	Facility		$231.00	$833.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $421.13 / $706.23	Professional		$296.02	$421.13	$706.23