Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.38 / $5,412.00 / $11,024.00	Facility		$262.38	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $251.48 / $262.38	Professional		$229.41	$251.48	$262.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $229.83 / $241.92	Professional		$0.02	$229.83	$241.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.16 / $275.16 / $275.16	Facility		$275.16	$275.16	$275.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.96 / $1,145.96 / $1,145.96	Professional		$1,145.96	$1,145.96	$1,145.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.89 / $268.11 / $341.14	Professional		$227.89	$268.11	$341.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $220.72 / $262.38 / $402.37	Facility		$220.72	$262.38	$402.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $334.00 / $400.96 / $569.11	Professional		$334.00	$400.96	$569.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $233.37 / $312.47 / $4,462.00	Facility		$233.37	$312.47	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $233.37 / $312.47 / $4,462.00	Professional		$233.37	$312.47	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.10 / $258.73 / $444.77	Professional		$192.10	$258.73	$444.77