Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $676.08 / $1,258.93	Facility		$239.88	$676.08	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $251.19 / $309.03	Professional		$234.42	$251.19	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $1,288.25	Facility		$323.59	$323.59	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $194.98	Professional		$5.89	$5.89	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $630.96 / $1,479.11	Facility		$223.87	$630.96	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $467.74	Professional		$134.90	$208.93	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $478.63	Professional		$323.59	$389.05	$478.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $263.03 / $478.63	Facility		$169.82	$263.03	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $676.08	Professional		$234.42	$234.42	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $309.03 / $436.52	Facility		$208.93	$309.03	$436.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $436.52	Professional		$208.93	$309.03	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $323.59 / $389.05	Facility		$134.90	$323.59	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $269.15	Professional		$134.90	$162.18	$269.15