Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.89 / $5,087.00 / $8,920.00	Facility		$986.89	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.78 / $955.70 / $986.89	Professional		$803.78	$955.70	$986.89
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 $797.74 / $1,030.07 / $1,430.20	Professional		$797.74	$1,030.07	$1,430.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $875.05 / $1,039.25	Facility		$490.00	$875.05	$1,039.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,328.07 / $4,328.07 / $4,328.07	Professional		$4,328.07	$4,328.07	$4,328.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.79 / $1,044.63 / $1,288.38	Professional		$860.79	$1,044.63	$1,288.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $840.93 / $986.89 / $1,615.13	Facility		$840.93	$986.89	$1,615.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,175.00 / $1,523.74 / $2,149.39	Professional		$1,175.00	$1,523.74	$2,149.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $897.18 / $1,202.22 / $2,052.00	Facility		$897.18	$1,202.22	$2,052.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $897.18 / $1,202.22 / $2,052.00	Professional		$897.18	$1,202.22	$2,052.00
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.63 / $1,168.18 / $1,801.79	Professional		$747.63	$1,168.18	$1,801.79