Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.86 / $5,412.00 / $11,024.00	Facility		$284.86	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.68 / $275.54 / $285.81	Professional		$250.68	$275.54	$285.81
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 $187.17 / $235.16 / $323.51	Professional		$187.17	$235.16	$323.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.37 / $292.37 / $292.37	Facility		$292.37	$292.37	$292.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.68 / $1,217.68 / $1,217.68	Professional		$1,217.68	$1,217.68	$1,217.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.49 / $285.27 / $362.91	Professional		$242.49	$285.27	$362.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $242.72 / $284.86 / $440.86	Facility		$242.72	$284.86	$440.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $443.00 / $604.66	Professional		$297.00	$443.00	$604.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $233.06 / $307.45 / $538.55	Facility		$233.06	$307.45	$538.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $307.45 / $538.55	Professional		$233.06	$307.45	$538.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,959.00 / $5,226.00	Facility		$1,547.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.54 / $276.24 / $483.81	Professional		$208.54	$276.24	$483.81