Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.50 / $1,626.00 / $3,152.00	Facility		$206.50	$1,626.00	$3,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $206.50 / $275.00	Professional		$171.00	$206.50	$275.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $306.17 / $415.87	Professional		$0.02	$306.17	$415.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.70 / $662.24 / $882.98	Facility		$223.70	$662.24	$882.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.47 / $935.47 / $935.47	Professional		$935.47	$935.47	$935.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.08 / $230.50 / $282.48	Professional		$192.08	$230.50	$282.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.57 / $268.45 / $399.68	Facility		$190.57	$268.45	$399.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $346.64 / $560.33	Professional		$112.08	$346.64	$560.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.49 / $171.47 / $330.51	Facility		$89.49	$171.47	$330.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.98 / $239.55 / $391.09	Professional		$97.98	$239.55	$391.09
United Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $290.20 / $466.04	Professional		$181.57	$290.20	$466.04