Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.21 / $656.21 / $2,635.99	Facility		$656.21	$656.21	$2,635.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.21 / $780.96 / $780.96	Professional		$656.21	$780.96	$780.96
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 $900.00 / $900.00 / $900.00	Professional		$900.00	$900.00	$900.00
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 / $649.44	Professional		$82.80	$90.56	$649.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,432.00 / $2,432.00 / $2,432.00	Professional		$2,432.00	$2,432.00	$2,432.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $780.96 / $955.07	Facility		$500.00	$780.96	$955.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $819.00 / $819.00	Professional		$819.00	$819.00	$819.00
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 $1,347.50 / $1,347.50 / $1,347.50	Professional		$1,347.50	$1,347.50	$1,347.50