Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,365.16 / $8,912.51	Facility		$478.63	$4,365.16	$8,912.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $562.34 / $3,630.78	Professional	50	$239.88	$562.34	$3,630.78
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 50 Low / Median / High Price $602.56 / $851.14 / $1,202.26	Professional	50	$602.56	$851.14	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,862.09	Facility		$660.69	$660.69	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $676.08	Professional		$426.58	$562.34	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $645.65	Professional		$549.54	$549.54	$645.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $501.19 / $758.58	Facility		$363.08	$501.19	$758.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $524.81 / $4,073.80	Facility		$346.74	$524.81	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $5,754.40	Facility		$1,737.80	$3,467.37	$5,754.40