Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $3,355.00 / $8,294.00	Facility		$45.89	$3,355.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $87.50 / $127.09	Professional		$45.89	$87.50	$127.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $203.56 / $339.82	Professional		$159.18	$203.56	$339.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $189.00 / $213.00	Professional		$189.00	$189.00	$213.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $97.29 / $193.56	Facility		$45.89	$97.29	$193.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $242.55 / $242.55	Professional		$242.55	$242.55	$242.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $805.00 / $1,291.00 / $9,929.00	Facility		$805.00	$1,291.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $805.00 / $1,291.00 / $9,929.00	Professional		$805.00	$1,291.00	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00