Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $4,032.00 / $8,920.00	Facility		$239.35	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $213.89 / $239.35	Professional		$24.49	$213.89	$239.35
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 $0.02 / $29.23 / $114.34	Professional		$0.02	$29.23	$114.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Facility		$32.44	$32.44	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $171.50 / $171.50	Professional		$171.50	$171.50	$171.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $24.52 / $31.05	Professional		$20.84	$24.52	$31.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.84 / $43.04 / $359.03	Facility		$26.84	$43.04	$359.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $68.23 / $217.00	Professional		$42.15	$68.23	$217.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $278.52 / $1,380.00	Facility		$36.33	$278.52	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $278.52 / $1,380.00	Professional		$36.33	$278.52	$1,380.00
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 $20.93 / $31.16 / $52.47	Professional		$20.93	$31.16	$52.47