Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.77 / $4,032.00 / $8,920.00	Facility		$681.77	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.21 / $605.95 / $681.77	Professional		$415.21	$605.95	$681.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $57.80 / $82.96	Professional		$46.55	$57.80	$82.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.33 / $623.33 / $623.33	Facility		$623.33	$623.33	$623.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,595.91 / $2,595.91 / $2,595.91	Professional		$2,595.91	$2,595.91	$2,595.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.03 / $637.38 / $758.79	Professional		$574.03	$637.38	$758.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $391.54 / $666.55 / $908.93	Facility		$391.54	$666.55	$908.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $757.00 / $966.14 / $1,289.16	Professional		$757.00	$966.14	$1,289.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $614.79 / $813.23 / $3,658.00	Facility		$614.79	$813.23	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $614.79 / $813.23 / $3,658.00	Professional		$614.79	$813.23	$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 $512.22 / $684.21 / $1,120.49	Professional		$512.22	$684.21	$1,120.49