Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $831.76	Facility		$707.95	$707.95	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $977.24	Professional		$707.95	$977.24	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $933.25	Facility		$602.56	$776.25	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,513.56	Professional		$891.25	$891.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $181.97 / $478.63	Facility		$117.49	$181.97	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $912.01	Professional		$83.18	$91.20	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,513.56	Professional		$1,071.52	$1,071.52	$1,513.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $977.24	Facility		$707.95	$977.24	$977.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,000.00 / $10,964.78	Facility		$7,413.10	$10,000.00	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $10,000.00 / $10,964.78	Professional		$7,413.10	$10,000.00	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $151.36 / $1,047.13	Facility		$30.90	$151.36	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44