Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $463.68 / $690.80	Facility		$30.00	$463.68	$690.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $39.00 / $640.32	Professional		$30.00	$39.00	$640.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.20 / $543.20 / $612.00	Professional		$543.20	$543.20	$612.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $490.00 / $637.00	Professional		$343.00	$490.00	$637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $568.00 / $720.00	Professional		$336.00	$568.00	$720.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,393.10 / $2,490.00 / $3,184.32	Facility		$2,393.10	$2,490.00	$3,184.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.00 / $544.00 / $664.00	Professional		$512.00	$544.00	$664.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $64.00 / $92.88	Facility		$23.60	$64.00	$92.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $64.00 / $92.88	Professional		$23.60	$64.00	$92.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $58.00 / $77.50	Professional		$45.00	$58.00	$77.50