Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $426.58	Facility		$128.82	$331.13	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $162.18	Professional		$114.82	$131.83	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,071.52	Facility		$691.83	$912.01	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $302.00 / $380.19	Professional		$120.23	$302.00	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $426.58 / $891.25	Facility		$177.83	$426.58	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $199.53 / $338.84	Professional		$72.44	$199.53	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $257.04	Professional		$173.78	$208.93	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $173.78	Facility		$89.13	$89.13	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $436.52	Facility		$120.23	$194.98	$436.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $436.52	Professional		$120.23	$194.98	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $173.78 / $208.93	Facility		$72.44	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $128.82	Professional		$72.44	$77.62	$128.82