Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,202.26 / $1,584.89	Facility		$478.63	$1,202.26	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $602.56	Professional		$426.58	$478.63	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $3,981.07	Facility		$2,570.40	$3,311.31	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $389.05	Professional		$208.93	$208.93	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,584.89 / $3,311.31	Facility		$645.65	$1,584.89	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $676.08 / $831.76	Professional		$269.15	$676.08	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $954.99	Professional		$645.65	$776.25	$954.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $794.33	Facility		$416.87	$524.81	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $724.44 / $1,621.81	Facility		$446.68	$724.44	$1,621.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,621.81	Professional		$446.68	$724.44	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $645.65 / $776.25	Facility		$269.15	$645.65	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $288.40 / $478.63	Professional		$269.15	$288.40	$478.63