Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.64 / $4,032.00 / $8,920.00	Facility		$286.64	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.12 / $286.64 / $363.22	Professional		$241.12	$286.64	$363.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $98.61 / $256.62	Professional		$0.02	$98.61	$256.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.45 / $314.45 / $640.00	Facility		$314.45	$314.45	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.03 / $1,188.03 / $1,188.03	Professional		$1,188.03	$1,188.03	$1,188.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.26 / $306.20 / $354.10	Professional		$239.26	$306.20	$354.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.58 / $320.33 / $581.15	Facility		$254.58	$320.33	$581.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.00 / $496.32 / $650.33	Professional		$354.00	$496.32	$650.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $260.60 / $355.72 / $7,902.00	Facility		$260.60	$355.72	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $260.60 / $355.72 / $7,902.00	Professional		$260.60	$355.72	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.65 / $331.46 / $515.36	Professional		$214.65	$331.46	$515.36