Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.88 / $872.81 / $1,138.28	Facility		$390.88	$872.81	$1,138.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.90 / $390.88 / $390.88	Professional		$344.90	$390.88	$390.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,746.55 / $2,239.52 / $2,828.14	Facility		$1,746.55	$2,239.52	$2,828.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.58 / $238.20	Professional		$2.58	$2.58	$238.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.91 / $1,329.33 / $2,355.14	Facility		$298.91	$1,329.33	$2,355.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.60 / $528.64 / $660.80	Professional		$191.60	$528.64	$660.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.83 / $574.83 / $680.59	Professional		$551.83	$574.83	$680.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.92 / $358.69 / $528.84	Facility		$275.92	$358.69	$528.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $377.09 / $459.86 / $965.71	Professional		$377.09	$459.86	$965.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $533.44 / $1,909.43	Facility		$321.89	$533.44	$1,909.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $321.89 / $533.44 / $1,909.43	Professional		$321.89	$533.44	$1,909.43
United Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $206.94 / $344.90	Professional		$193.14	$206.94	$344.90