Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $275.42 / $275.42	Facility		$104.71	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $275.42	Professional		$181.97	$275.42	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,819.70	Facility		$1,174.90	$1,513.56	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $380.19	Professional		$223.87	$223.87	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $263.03 / $562.34	Facility		$117.49	$263.03	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $151.36	Professional		$138.04	$138.04	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $275.42 / $275.42	Facility		$104.71	$275.42	$275.42
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 / $295.12 / $794.33	Facility		$30.90	$295.12	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88