Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $891.25 / $891.25	Facility		$478.63	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $912.01	Professional		$478.63	$707.95	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $851.14	Facility		$794.33	$794.33	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $954.99	Professional		$645.65	$645.65	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $954.99 / $1,513.56	Facility		$229.09	$954.99	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $3,890.45	Professional		$295.12	$295.12	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,819.70	Professional		$660.69	$912.01	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $1,148.15	Facility		$512.86	$812.83	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $794.33	Professional		$676.08	$676.08	$794.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $125.89 / $2,691.53	Facility		$38.02	$125.89	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $147.91 / $2,754.23	Professional		$40.74	$147.91	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $81.28 / $812.83	Facility		$40.74	$81.28	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,071.52 / $1,778.28	Professional		$489.78	$1,071.52	$1,778.28