Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.84 / $806.62 / $1,666.25	Facility		$459.84	$806.62	$1,666.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.74 / $443.61 / $459.84	Professional		$405.74	$443.61	$459.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,054.67 / $2,634.62 / $3,327.09	Facility		$2,054.67	$2,634.62	$3,327.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $280.23	Professional		$50.00	$50.00	$280.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.57 / $1,010.87 / $2,771.13	Facility		$355.57	$1,010.87	$2,771.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.40 / $621.57 / $776.96	Professional		$225.40	$621.57	$776.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.19 / $676.24 / $800.67	Professional		$649.19	$676.24	$800.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $355.05 / $438.20 / $654.60	Facility		$355.05	$438.20	$654.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $443.61 / $540.99 / $1,136.08	Professional		$443.61	$540.99	$1,136.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $486.89 / $676.24	Facility		$25.73	$486.89	$676.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $270.50 / $486.89 / $721.14	Professional		$270.50	$486.89	$721.14
United Facility/Professional Professional Modifier Low / Median / High Price $227.22 / $270.50 / $351.64	Professional		$227.22	$270.50	$351.64