Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.22 / $612.98 / $994.72	Facility		$242.22	$612.98	$994.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $264.83 / $305.02	Professional		$242.22	$264.83	$305.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $1,572.82	Facility		$322.95	$322.95	$1,572.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $167.29	Professional		$5.95	$5.95	$167.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.27 / $603.46 / $1,653.94	Facility		$212.27	$603.46	$1,653.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.56 / $209.93 / $463.59	Professional		$134.56	$209.93	$463.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $403.70 / $477.98	Professional		$387.55	$403.70	$477.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $258.37 / $430.62	Facility		$171.17	$258.37	$430.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.25 / $358.85 / $678.22	Professional		$233.25	$358.85	$678.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $290.66 / $430.51	Facility		$161.47	$290.66	$430.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $290.66 / $430.51	Professional		$161.47	$290.66	$430.51
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $161.47 / $269.14	Professional		$135.63	$161.47	$269.14