Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $853.50	Facility		$225.00	$225.00	$853.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $399.10	Professional		$225.00	$225.00	$399.10
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 $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $244.45 / $482.26	Facility		$105.78	$244.45	$482.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $90.56 / $130.61	Professional		$82.80	$90.56	$130.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,022.00 / $1,022.00 / $1,022.00	Professional		$1,022.00	$1,022.00	$1,022.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $309.24	Facility		$225.00	$225.00	$309.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $283.50 / $283.50 / $283.50	Professional		$283.50	$283.50	$283.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $9,929.00 / $10,945.00	Facility		$4,071.00	$9,929.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $9,929.00 / $10,945.00	Professional		$4,071.00	$9,929.00	$10,945.00
United Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $68.34 / $68.34	Facility		$68.34	$68.34	$68.34
United Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Professional		$360.00	$360.00	$360.00