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 $242.65 / $283.54 / $320.33	Professional		$242.65	$283.54	$320.33
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 $283.02 / $283.02 / $640.00	Facility		$283.02	$283.02	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.68 / $1,178.68 / $1,178.68	Professional		$1,178.68	$1,178.68	$1,178.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.09 / $303.38 / $350.89	Professional		$237.09	$303.38	$350.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.67 / $303.85 / $469.13	Facility		$239.67	$303.85	$469.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $345.88 / $438.62 / $585.41	Professional		$345.88	$438.62	$585.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $250.65 / $347.22 / $7,902.00	Facility		$250.65	$347.22	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $250.65 / $347.22 / $7,902.00	Professional		$250.65	$347.22	$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 $215.37 / $354.35 / $540.29	Professional		$215.37	$354.35	$540.29