Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.72 / $4,032.00 / $8,920.00	Facility		$257.72	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.93 / $252.93 / $282.18	Professional		$207.93	$252.93	$282.18
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 $274.02 / $352.48 / $592.24	Professional		$274.02	$352.48	$592.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.55 / $364.55 / $364.55	Facility		$364.55	$364.55	$364.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,526.35 / $1,526.35 / $1,526.35	Professional		$1,526.35	$1,526.35	$1,526.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.35 / $393.25 / $454.88	Professional		$307.35	$393.25	$454.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.18 / $257.72 / $416.28	Facility		$195.18	$257.72	$416.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $279.58 / $354.55 / $593.95	Professional		$279.58	$354.55	$593.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $219.72 / $357.63 / $1,380.00	Facility		$219.72	$357.63	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $219.72 / $357.63 / $1,380.00	Professional		$219.72	$357.63	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $302.23 / $454.79	Professional		$187.43	$302.23	$454.79