Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.52 / $970.26 / $1,265.36	Facility		$434.52	$970.26	$1,265.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.40 / $434.52 / $434.52	Professional		$383.40	$434.52	$434.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,941.54 / $2,489.54 / $3,143.88	Facility		$1,941.54	$2,489.54	$3,143.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $168.13 / $264.80	Professional		$168.13	$168.13	$264.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.28 / $1,478.22 / $2,618.46	Facility		$332.28	$1,478.22	$2,618.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.99 / $587.29 / $734.11	Professional		$212.99	$587.29	$734.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.44 / $639.00 / $756.58	Professional		$613.44	$639.00	$756.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $306.72 / $398.74 / $587.88	Facility		$306.72	$398.74	$587.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $419.18 / $511.20 / $1,073.52	Professional		$419.18	$511.20	$1,073.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $357.84 / $592.99 / $2,122.60	Facility		$357.84	$592.99	$2,122.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $357.84 / $592.99 / $2,122.60	Professional		$357.84	$592.99	$2,122.60
United Facility/Professional Facility Modifier Low / Median / High Price $460.08 / $511.20 / $766.80	Facility		$460.08	$511.20	$766.80
United Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $230.04 / $383.40	Professional		$214.70	$230.04	$383.40