Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.82 / $966.46 / $1,260.42	Facility		$432.82	$966.46	$1,260.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.90 / $432.82 / $432.82	Professional		$381.90	$432.82	$432.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,933.94 / $2,479.80 / $3,131.58	Facility		$1,933.94	$2,479.80	$3,131.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $263.76	Professional		$69.92	$69.92	$263.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $947.95 / $2,608.42	Facility		$330.98	$947.95	$2,608.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $585.22 / $731.53	Professional		$212.16	$585.22	$731.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.04 / $636.50 / $753.62	Professional		$611.04	$636.50	$753.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $305.52 / $397.18 / $585.58	Facility		$305.52	$397.18	$585.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $417.54 / $509.20 / $1,069.32	Professional		$417.54	$509.20	$1,069.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $356.44 / $590.66 / $1,243.47	Facility		$356.44	$590.66	$1,243.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $355.93 / $592.10 / $1,037.24	Professional		$355.93	$592.10	$1,037.24
United Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $254.60 / $381.90	Professional		$213.86	$254.60	$381.90