Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.42 / $5,087.00 / $8,920.00	Facility		$638.42	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.97 / $626.55 / $638.42	Professional		$451.97	$626.55	$638.42
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 $401.65 / $511.86 / $849.18	Professional		$401.65	$511.86	$849.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.90 / $506.90 / $506.90	Facility		$506.90	$506.90	$506.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,112.61 / $2,112.61 / $2,112.61	Professional		$2,112.61	$2,112.61	$2,112.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.18 / $483.96 / $559.71	Professional		$378.18	$483.96	$559.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $431.20 / $638.42 / $972.33	Facility		$431.20	$638.42	$972.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $617.73 / $783.35 / $1,048.30	Professional		$617.73	$783.35	$1,048.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $447.63 / $705.62 / $1,380.00	Facility		$447.63	$705.62	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $447.63 / $705.62 / $1,380.00	Professional		$447.63	$705.62	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.31 / $692.68 / $1,108.29	Professional		$464.31	$692.68	$1,108.29