Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.20 / $880.22 / $1,147.95	Facility		$394.20	$880.22	$1,147.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.82 / $394.20 / $394.20	Professional		$347.82	$394.20	$394.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,761.36 / $2,258.51 / $2,852.12	Facility		$1,761.36	$2,258.51	$2,852.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.58 / $240.22	Professional		$2.58	$2.58	$240.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.44 / $1,341.10 / $2,375.26	Facility		$301.44	$1,341.10	$2,375.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.22 / $533.17 / $666.48	Professional		$193.22	$533.17	$666.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.51 / $579.70 / $686.36	Professional		$556.51	$579.70	$686.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $278.26 / $361.73 / $533.32	Facility		$278.26	$361.73	$533.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.28 / $463.76 / $973.90	Professional		$380.28	$463.76	$973.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $301.44 / $533.32 / $1,925.62	Facility		$301.44	$533.32	$1,925.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $324.17 / $537.96 / $1,925.62	Professional		$324.17	$537.96	$1,925.62
United Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $231.88 / $463.76	Professional		$194.78	$231.88	$463.76