Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $954.99 / $1,258.93	Facility		$380.19	$954.99	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $478.63	Professional		$338.84	$380.19	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,162.28	Facility		$1,995.26	$2,630.27	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $309.03	Professional		$28.84	$28.84	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $977.24 / $2,570.40	Facility		$331.13	$977.24	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $575.44 / $724.44	Professional		$208.93	$575.44	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $741.31	Professional		$501.19	$602.56	$741.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $407.38 / $575.44	Facility		$302.00	$407.38	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,047.13	Professional		$416.87	$416.87	$1,047.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $549.54 / $1,288.25	Facility		$354.81	$549.54	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $1,288.25	Professional		$354.81	$575.44	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $501.19 / $602.56	Facility		$213.80	$501.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $380.19	Professional		$213.80	$229.09	$380.19