Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.70 / $4,032.00 / $8,920.00	Facility		$326.70	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.58 / $316.27 / $326.70	Professional		$255.58	$316.27	$326.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $201.02 / $281.62	Professional		$157.08	$201.02	$281.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.80 / $610.00 / $972.27	Facility		$363.80	$610.00	$972.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.12 / $1,428.12 / $1,428.12	Professional		$1,428.12	$1,428.12	$1,428.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $306.70 / $368.05 / $513.75	Professional		$306.70	$368.05	$513.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.37 / $326.70 / $534.51	Facility		$281.37	$326.70	$534.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $388.00 / $504.21 / $709.32	Professional		$388.00	$504.21	$709.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $297.01 / $400.96 / $690.22	Facility		$297.01	$400.96	$690.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $297.01 / $400.96 / $690.22	Professional		$297.01	$400.96	$690.22
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,774.00 / $5,226.00	Facility		$490.00	$2,774.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $388.61 / $590.42	Professional		$247.50	$388.61	$590.42