Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.26 / $990.42 / $2,212.27	Facility		$821.26	$990.42	$2,212.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.26 / $877.64 / $990.42	Professional		$821.26	$877.64	$990.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.41 / $917.33	Facility		$566.51	$726.41	$917.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $2,041.82 / $4,904.63	Facility		$55.20	$2,041.82	$4,904.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.34 / $628.58 / $1,302.19	Professional		$438.34	$628.58	$1,302.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,550.92 / $1,579.03 / $1,615.54	Professional		$1,550.92	$1,579.03	$1,615.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $821.26 / $1,219.53 / $1,337.12	Facility		$821.26	$1,219.53	$1,337.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $936.15 / $936.15	Professional		$840.00	$936.15	$936.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $746.84 / $1,162.78 / $4,179.28	Facility		$746.84	$1,162.78	$4,179.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.64 / $1,162.78 / $4,179.28	Professional		$724.64	$1,162.78	$4,179.28
United Facility/Professional Professional Modifier Low / Median / High Price $440.82 / $579.71 / $1,101.02	Professional		$440.82	$579.71	$1,101.02