Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.18 / $854.18 / $2,229.41	Facility		$854.18	$854.18	$2,229.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.28 / $854.18 / $1,030.22	Professional		$818.28	$854.18	$1,030.22
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 $57.41 / $2,123.75 / $5,102.06	Facility		$57.41	$2,123.75	$5,102.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.98 / $653.88 / $1,354.64	Professional		$455.98	$653.88	$1,354.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,612.92 / $1,642.15 / $1,680.12	Professional		$1,612.92	$1,642.15	$1,680.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $854.18 / $1,268.35 / $1,268.35	Facility		$854.18	$1,268.35	$1,268.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $973.75 / $973.75 / $1,721.08	Professional		$973.75	$973.75	$1,721.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $824.03 / $1,233.01 / $4,347.12	Facility		$824.03	$1,233.01	$4,347.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $824.03 / $1,233.01 / $4,347.12	Professional		$824.03	$1,233.01	$4,347.12
United Facility/Professional Professional Modifier Low / Median / High Price $458.52 / $611.36 / $1,342.26	Professional		$458.52	$611.36	$1,342.26