Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.19 / $468.65 / $760.51	Facility		$185.19	$468.65	$760.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $202.47 / $209.88	Professional		$185.19	$202.47	$209.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $246.92 / $1,202.50	Facility		$246.92	$246.92	$1,202.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $31.92 / $127.90	Professional		$31.92	$31.92	$127.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.29 / $461.39 / $1,264.78	Facility		$162.29	$461.39	$1,264.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $283.73 / $354.66	Professional		$102.88	$283.73	$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 $162.05 / $200.01 / $298.77	Facility		$162.05	$200.01	$298.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.47 / $246.92 / $518.53	Professional		$202.47	$246.92	$518.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $180.25 / $308.64	Facility		$63.50	$180.25	$308.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $180.25 / $308.64	Professional		$123.46	$180.25	$308.64
United Facility/Professional Facility Modifier Low / Median / High Price $148.15 / $246.92 / $296.30	Facility		$148.15	$246.92	$296.30
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $111.11 / $160.50	Professional		$103.71	$111.11	$160.50