Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.79 / $456.20 / $693.48	Facility		$174.79	$456.20	$693.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $174.79 / $174.79	Professional		$145.28	$174.79	$174.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $246.92 / $943.37	Facility		$246.92	$246.92	$943.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $116.03	Professional		$45.77	$45.77	$116.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.32 / $361.96 / $993.05	Facility		$127.32	$361.96	$993.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $120.29 / $354.66	Professional		$80.70	$120.29	$354.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.30 / $308.64 / $365.44	Professional		$296.30	$308.64	$365.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $160.78 / $246.92	Facility		$102.67	$160.78	$246.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $205.63 / $406.79	Professional		$133.66	$205.63	$406.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.10 / $187.41 / $258.22	Facility		$120.10	$187.41	$258.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $174.34 / $258.22	Professional		$120.10	$174.34	$258.22
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $110.25 / $193.71	Professional		$81.36	$110.25	$193.71