Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $5,048.00 / $10,767.00	Facility		$825.00	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $825.00	Professional		$825.00	$825.00	$825.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.22 / $1,004.41 / $1,399.95	Professional		$798.22	$1,004.41	$1,399.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.13 / $912.89 / $912.89	Professional		$648.13	$912.89	$912.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,338.00 / $4,149.00 / $4,149.00	Professional		$3,338.00	$4,149.00	$4,149.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $874.50 / $1,394.25	Facility		$825.00	$874.50	$1,394.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,016.00 / $1,113.00 / $1,160.00	Professional		$1,016.00	$1,113.00	$1,160.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $968.68 / $3,658.00 / $9,929.00	Facility		$968.68	$3,658.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $968.68 / $3,658.00 / $9,929.00	Professional		$968.68	$3,658.00	$9,929.00
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