Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.06 / $360.06 / $1,204.32	Facility		$360.06	$360.06	$1,204.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.06 / $401.62 / $401.62	Professional		$360.06	$401.62	$401.62
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 $42.34 / $42.34 / $42.34	Professional		$42.34	$42.34	$42.34
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 / $350.02	Professional		$82.80	$90.56	$350.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,993.00 / $1,993.00 / $1,993.00	Professional		$1,993.00	$1,993.00	$1,993.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $360.06 / $401.62 / $436.35	Facility		$360.06	$401.62	$436.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Professional		$504.00	$504.00	$504.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $214.30 / $4,071.00 / $10,945.00	Facility		$214.30	$4,071.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $213.40 / $9,929.00 / $10,945.00	Professional		$213.40	$9,929.00	$10,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $395.00 / $395.00	Professional		$395.00	$395.00	$395.00