Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.89 / $955.45 / $1,246.06	Facility		$427.89	$955.45	$1,246.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.55 / $427.89 / $427.89	Professional		$377.55	$427.89	$427.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,911.91 / $2,451.56 / $3,095.91	Facility		$1,911.91	$2,451.56	$3,095.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $260.76	Professional		$28.88	$28.88	$260.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $937.24 / $2,578.21	Facility		$327.20	$937.24	$2,578.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.74 / $578.20 / $722.75	Professional		$209.74	$578.20	$722.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.08 / $629.25 / $745.03	Professional		$604.08	$629.25	$745.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.04 / $392.65 / $578.91	Facility		$302.04	$392.65	$578.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $412.79 / $503.40 / $1,057.14	Professional		$412.79	$503.40	$1,057.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $578.91 / $2,090.21	Facility		$327.20	$578.91	$2,090.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $352.38 / $583.94 / $2,090.21	Professional		$352.38	$583.94	$2,090.21
United Facility/Professional Facility Modifier Low / Median / High Price $604.08 / $604.08 / $604.08	Facility		$604.08	$604.08	$604.08
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $226.53 / $503.40	Professional		$211.43	$226.53	$503.40