Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $12.48 / $786.79	Facility		$4.78	$12.48	$786.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.28 / $1,741.66 / $2,199.42	Facility		$1,358.28	$1,741.66	$2,199.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $214.22	Professional		$4.25	$4.25	$214.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.46 / $665.39 / $1,831.75	Facility		$232.46	$665.39	$1,831.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.01 / $410.94 / $513.66	Professional		$149.01	$410.94	$513.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.16 / $447.04 / $529.29	Professional		$429.16	$447.04	$529.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.97 / $275.38 / $411.27	Facility		$210.97	$275.38	$411.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $293.26 / $357.63 / $751.02	Professional		$293.26	$357.63	$751.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $250.34 / $414.85 / $873.33	Facility		$250.34	$414.85	$873.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $249.98 / $415.85 / $728.49	Professional		$249.98	$415.85	$728.49
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $178.82 / $268.22	Professional		$150.19	$178.82	$268.22