Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $457.09 / $758.58	Facility		$144.54	$457.09	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $154.88 / $186.21	Professional		$144.54	$154.88	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $776.25	Facility		$245.47	$245.47	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $117.49	Professional		$45.71	$45.71	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $380.19 / $870.96	Facility		$134.90	$380.19	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $354.81	Professional		$81.28	$120.23	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $363.08	Professional		$245.47	$295.12	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $165.96 / $275.42	Facility		$102.33	$165.96	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $407.38	Professional		$134.90	$134.90	$407.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $331.13	Facility		$123.03	$194.98	$331.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $331.13	Professional		$123.03	$186.21	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $194.98 / $295.12	Facility		$87.10	$194.98	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $154.88	Professional		$81.28	$97.72	$154.88