Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.03 / $5,087.00 / $8,920.00	Facility		$549.03	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.62 / $543.11 / $549.03	Professional		$473.62	$543.11	$549.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.39 / $815.08 / $1,347.57	Professional		$637.39	$815.08	$1,347.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.40 / $575.40 / $640.00	Facility		$575.40	$575.40	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,397.90 / $2,397.90 / $2,397.90	Professional		$2,397.90	$2,397.90	$2,397.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.30 / $617.17 / $713.80	Professional		$482.30	$617.17	$713.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $458.76 / $581.97 / $931.78	Facility		$458.76	$581.97	$931.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $662.08 / $839.60 / $1,190.06	Professional		$662.08	$839.60	$1,190.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $487.64 / $668.82 / $3,512.00	Facility		$487.64	$668.82	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $487.64 / $668.82 / $3,512.00	Professional		$487.64	$668.82	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $5,979.00 / $13,217.00	Facility		$3,510.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.50 / $644.53 / $1,000.30	Professional		$412.50	$644.53	$1,000.30