Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $5,495.41 / $10,000.00	Facility		$281.84	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $323.59	Professional		$181.97	$257.04	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $380.19	Professional		$194.98	$275.42	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $371.54	Professional		$245.47	$288.40	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $436.52	Facility		$218.78	$295.12	$436.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $316.23 / $588.84	Facility		$223.87	$316.23	$588.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $588.84	Professional		$223.87	$316.23	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $501.19	Professional		$208.93	$275.42	$501.19