Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.36 / $5,412.00 / $16,589.00	Facility		$792.36	$5,412.00	$16,589.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.97 / $771.60 / $822.70	Professional		$598.97	$771.60	$822.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.90 / $888.86 / $1,238.24	Professional		$691.90	$888.86	$1,238.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $925.00	Facility		$490.00	$610.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $679.39 / $679.39	Professional		$679.39	$679.39	$679.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.15 / $867.14 / $1,140.74	Professional		$711.15	$867.14	$1,140.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $576.26 / $822.70 / $1,307.39	Facility		$576.26	$822.70	$1,307.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $640.46 / $1,124.00 / $1,744.85	Professional		$640.46	$1,124.00	$1,744.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $666.67 / $866.09 / $1,490.98	Facility		$666.67	$866.09	$1,490.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $666.67 / $866.09 / $1,490.98	Professional		$666.67	$866.09	$1,490.98
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.65 / $847.09 / $1,285.93	Professional		$551.65	$847.09	$1,285.93