Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,235.94 / $8,317.64	Facility		$363.08	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $363.08	Professional		$181.97	$275.42	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $245.47	Professional		$0.02	$0.02	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $363.08	Professional		$245.47	$295.12	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $302.00 / $524.81	Facility		$234.42	$302.00	$524.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $354.81 / $10,000.00	Facility		$257.04	$354.81	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $10,000.00	Professional		$257.04	$354.81	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $524.81	Professional		$204.17	$316.23	$524.81