Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.78 / $5,048.00 / $10,767.00	Facility		$515.78	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.26 / $515.78 / $6,249.99	Professional		$455.26	$515.78	$6,249.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.01 / $520.76 / $797.02	Professional		$403.01	$520.76	$797.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $564.91 / $925.00	Facility		$490.00	$564.91	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.61 / $681.21 / $1,159.96	Professional		$486.61	$681.21	$1,159.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.50 / $569.40 / $702.26	Professional		$474.50	$569.40	$702.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $479.35 / $611.20 / $943.88	Facility		$479.35	$611.20	$943.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $669.00 / $925.00 / $3,152.00	Professional		$669.00	$925.00	$3,152.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $486.43 / $629.39 / $1,125.35	Facility		$486.43	$629.39	$1,125.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $486.43 / $629.39 / $1,125.35	Professional		$486.43	$629.39	$1,125.35
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.64 / $544.23 / $892.14	Professional		$373.64	$544.23	$892.14