Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $870.96 / $1,148.15	Facility		$346.74	$870.96	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $524.81	Professional		$309.03	$346.74	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $2,884.03	Facility		$1,819.70	$2,398.83	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $275.42	Professional		$2.57	$2.57	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,148.15 / $2,344.23	Facility		$467.74	$1,148.15	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $524.81 / $660.69	Professional		$190.55	$524.81	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $676.08	Professional		$457.09	$549.54	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $354.81 / $524.81	Facility		$275.42	$354.81	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $954.99	Professional		$380.19	$380.19	$954.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $1,174.90	Facility		$323.59	$524.81	$1,174.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $1,174.90	Professional		$323.59	$524.81	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $457.09 / $549.54	Facility		$194.98	$457.09	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $346.74	Professional		$194.98	$208.93	$346.74