Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $4,771.00 / $8,920.00	Facility		$154.88	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $149.60 / $154.88	Professional		$121.14	$149.60	$154.88
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 $124.76 / $157.59 / $218.80	Professional		$124.76	$157.59	$218.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $610.00 / $2,110.51	Facility		$163.60	$610.00	$2,110.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.76 / $679.76 / $679.76	Professional		$679.76	$679.76	$679.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $164.10 / $229.02	Professional		$136.75	$164.10	$229.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $154.88 / $253.73	Facility		$131.66	$154.88	$253.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $238.44 / $338.38	Professional		$185.00	$238.44	$338.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $140.81 / $190.09 / $327.23	Facility		$140.81	$190.09	$327.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $140.81 / $190.09 / $327.23	Professional		$140.81	$190.09	$327.23
United Facility/Professional Facility Modifier Low / Median / High Price $516.00 / $2,441.00 / $5,301.00	Facility		$516.00	$2,441.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $180.69 / $280.70	Professional		$117.34	$180.69	$280.70