Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $5,048.00 / $10,767.00	Facility		$142.86	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $158.77 / $196.42	Professional		$138.47	$158.77	$196.42
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 $67.65 / $84.01 / $121.29	Professional		$67.65	$84.01	$121.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.02 / $211.02 / $211.02	Facility		$211.02	$211.02	$211.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,064.88 / $1,064.88 / $1,064.88	Professional		$1,064.88	$1,064.88	$1,064.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $129.44 / $154.11	Professional		$115.94	$129.44	$154.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.43 / $157.15 / $261.43	Facility		$121.43	$157.15	$261.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $284.55 / $331.98 / $443.81	Professional		$284.55	$331.98	$443.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $196.45 / $280.92 / $1,263.41	Facility		$196.45	$280.92	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $196.45 / $280.92 / $1,263.41	Professional		$196.45	$280.92	$1,263.41
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.18 / $349.50 / $569.66	Professional		$254.18	$349.50	$569.66