Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.87 / $4,032.00 / $8,920.00	Facility		$213.87	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $184.50 / $213.87	Professional		$126.44	$184.50	$213.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $287.05 / $392.87	Professional		$0.02	$287.05	$392.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.19 / $190.19 / $190.19	Facility		$190.19	$190.19	$190.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.02 / $792.02 / $792.02	Professional		$792.02	$792.02	$792.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.92 / $194.21 / $231.21	Professional		$174.92	$194.21	$231.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.23 / $202.95 / $280.17	Facility		$119.23	$202.95	$280.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $294.19 / $393.38	Professional		$231.00	$294.19	$393.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $255.11 / $3,658.00	Facility		$187.43	$255.11	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $255.11 / $3,658.00	Professional		$187.43	$255.11	$3,658.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,959.00 / $5,226.00	Facility		$1,547.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $210.89 / $335.42	Professional		$160.68	$210.89	$335.42