Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.78 / $341.78 / $1,122.29	Facility		$341.78	$341.78	$1,122.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.78 / $369.44 / $369.44	Professional		$341.78	$369.44	$369.44
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 / $210.63	Professional		$82.80	$90.56	$210.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.00 / $309.00 / $309.00	Professional		$309.00	$309.00	$309.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $341.78 / $369.44 / $406.63	Facility		$341.78	$369.44	$406.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $252.00	Professional		$252.00	$252.00	$252.00
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 $68.34 / $68.34 / $68.34	Facility		$68.34	$68.34	$68.34
United Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Professional		$260.00	$260.00	$260.00