Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,818.38 / $5,888.44	Facility		$1,122.02	$2,818.38	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $1,148.15 / $1,479.11	Professional		$57.54	$1,148.15	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $5,888.44	Facility		$1,479.11	$1,479.11	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,000.00	Professional		$588.84	$588.84	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,884.03 / $6,760.83	Facility		$138.04	$2,884.03	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,479.11 / $2,818.38	Professional		$676.08	$1,479.11	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,187.76	Professional		$1,479.11	$1,778.28	$2,187.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,479.11	Facility		$741.31	$741.31	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $3,090.30	Professional		$977.24	$977.24	$3,090.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $10,000.00	Facility		$1,047.13	$1,949.84	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $10,000.00	Professional		$1,047.13	$1,949.84	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,479.11 / $1,778.28	Facility		$630.96	$1,479.11	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $676.08 / $1,122.02	Professional		$630.96	$676.08	$1,122.02