Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.66 / $4,032.00 / $8,920.00	Facility		$288.66	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.54 / $288.66 / $316.08	Professional		$252.54	$288.66	$316.08
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 $317.14 / $426.95 / $718.39	Professional		$317.14	$426.95	$718.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $379.05 / $640.00	Facility		$379.05	$379.05	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.45 / $1,819.45 / $1,819.45	Professional		$1,819.45	$1,819.45	$1,819.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $184.19 / $212.99	Professional		$143.91	$184.19	$212.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $247.51 / $305.98 / $516.35	Facility		$247.51	$305.98	$516.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $381.17 / $472.00 / $722.42	Professional		$381.17	$472.00	$722.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $264.43 / $435.55 / $2,755.00	Facility		$264.43	$435.55	$2,755.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $264.43 / $435.55 / $2,755.00	Professional		$264.43	$435.55	$2,755.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.79 / $336.32 / $502.61	Professional		$208.79	$336.32	$502.61