Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.26 / $2,823.03 / $4,581.10	Facility		$1,264.26	$2,823.03	$4,581.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,115.53 / $1,234.52 / $1,264.26	Professional		$1,115.53	$1,234.52	$1,264.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,487.37 / $1,487.37 / $7,243.49	Facility		$1,487.37	$1,487.37	$7,243.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.95 / $594.95 / $770.45	Professional		$594.95	$594.95	$770.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $2,484.65 / $7,618.96	Facility		$99.43	$2,484.65	$7,618.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $1,148.96 / $2,219.79	Professional		$31.59	$1,148.96	$2,219.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,784.84 / $1,859.21 / $2,201.31	Professional		$1,784.84	$1,859.21	$2,201.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $743.69 / $1,487.37	Facility		$743.69	$743.69	$1,487.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $1,487.37 / $3,123.48	Professional		$108.42	$1,487.37	$3,123.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,041.16 / $1,941.02 / $7,420.00	Facility		$1,041.16	$1,941.02	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,041.16 / $1,941.02 / $7,420.00	Professional		$1,041.16	$1,941.02	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $743.69 / $1,115.53	Professional		$624.70	$743.69	$1,115.53