Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.81 / $5,048.00 / $10,767.00	Facility		$88.81	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $86.86 / $88.81	Professional		$74.37	$86.86	$88.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,966.61 / $33,300.96 / $46,381.49	Facility		$14,966.61	$33,300.96	$46,381.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.44 / $613.05 / $846.38	Professional		$483.44	$613.05	$846.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,495.00 / $14,985.00 / $40,100.00	Facility		$8,495.00	$14,985.00	$40,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,427.89 / $2,913.46 / $3,593.28	Professional		$2,427.89	$2,913.46	$3,593.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $94.14 / $158.94	Facility		$79.27	$94.14	$158.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $1,679.38 / $2,734.00	Professional		$138.00	$1,679.38	$2,734.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $110.90 / $4,071.00	Facility		$80.73	$110.90	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $110.90 / $4,071.00	Professional		$80.73	$110.90	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $120.21 / $178.97	Professional		$73.64	$120.21	$178.97