Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $512.86 / $977.24	Facility		$186.21	$512.86	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $234.42	Professional		$165.96	$186.21	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $977.24	Facility		$245.47	$245.47	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $147.91	Professional		$31.62	$31.62	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $1,122.02	Facility		$173.78	$478.63	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $281.84 / $3,090.30	Professional		$25.70	$281.84	$3,090.30
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 $162.18 / $204.17 / $302.00	Facility		$162.18	$204.17	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $512.86	Professional		$204.17	$204.17	$512.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $223.87 / $338.84	Facility		$67.61	$223.87	$338.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $338.84	Professional		$123.03	$223.87	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $245.47 / $295.12	Facility		$104.71	$245.47	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $186.21	Professional		$104.71	$112.20	$186.21