Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.34 / $596.34 / $1,963.24	Facility		$596.34	$596.34	$1,963.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.34 / $657.14 / $697.97	Professional		$596.34	$657.14	$697.97
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 $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.45 / $1,070.06 / $2,413.46	Facility		$100.45	$1,070.06	$2,413.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.76 / $379.21 / $520.38	Professional		$346.76	$379.21	$520.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,475.00 / $3,475.00 / $3,475.00	Professional		$3,475.00	$3,475.00	$3,475.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $657.14 / $711.32	Facility		$500.00	$657.14	$711.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $472.50 / $472.50 / $472.50	Professional		$472.50	$472.50	$472.50
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 Professional Modifier Low / Median / High Price $1,237.50 / $1,237.50 / $1,237.50	Professional		$1,237.50	$1,237.50	$1,237.50