Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.26 / $284.26 / $920.37	Facility		$284.26	$284.26	$920.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.26 / $307.42 / $307.42	Professional		$284.26	$307.42	$307.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.99 / $242.33 / $306.02	Facility		$188.99	$242.33	$306.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $116.42 / $181.61	Facility		$61.27	$116.42	$181.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $31.33 / $317.49	Professional		$28.65	$31.33	$317.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $920.00 / $920.00	Professional		$920.00	$920.00	$920.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $284.26 / $307.42 / $333.47	Facility		$284.26	$307.42	$333.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $315.00	Professional		$315.00	$315.00	$315.00
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 $46.04 / $50.75 / $54.80	Facility		$46.04	$50.75	$54.80
United Facility/Professional Professional Modifier Low / Median / High Price $365.00 / $365.00 / $365.00	Professional		$365.00	$365.00	$365.00