Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.89 / $955.45 / $1,802.17	Facility		$427.89	$955.45	$1,802.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.55 / $427.89 / $427.89	Professional		$377.55	$427.89	$427.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $503.40 / $1,021.90	Facility		$503.40	$503.40	$1,021.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $201.36 / $260.76	Professional		$201.36	$201.36	$260.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.86 / $940.64 / $2,578.21	Facility		$330.86	$940.64	$2,578.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.74 / $525.00 / $656.25	Professional		$209.74	$525.00	$656.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.08 / $629.25 / $745.03	Professional		$604.08	$629.25	$745.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.70 / $407.75 / $634.28	Facility		$251.70	$407.75	$634.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $503.40 / $503.40	Professional		$151.71	$503.40	$503.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $312.11 / $453.06 / $629.25	Facility		$312.11	$453.06	$629.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $312.11 / $453.06 / $629.25	Professional		$312.11	$453.06	$629.25
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $226.53 / $377.55	Professional		$211.43	$226.53	$377.55