Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.76 / $463.76 / $1,627.73	Facility		$463.76	$463.76	$1,627.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.76 / $519.54 / $519.54	Professional		$463.76	$519.54	$519.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,492.06 / $3,195.45 / $4,035.32	Facility		$2,492.06	$3,195.45	$4,035.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Professional		$900.00	$900.00	$900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.19 / $1,070.06 / $2,413.46	Facility		$116.19	$1,070.06	$2,413.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $136.81 / $379.21	Professional		$109.45	$136.81	$379.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,329.00 / $1,329.00 / $1,329.00	Professional		$1,329.00	$1,329.00	$1,329.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $519.54 / $589.76	Facility		$400.00	$519.54	$589.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $378.00	Professional		$378.00	$378.00	$378.00
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 Professional Modifier Low / Median / High Price $272.25 / $272.25 / $272.25	Professional		$272.25	$272.25	$272.25