Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.08 / $328.41 / $428.31	Facility		$147.08	$328.41	$428.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.77 / $143.61 / $147.08	Professional		$129.77	$143.61	$147.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.17 / $842.66 / $1,064.13	Facility		$657.17	$842.66	$1,064.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $304.00 / $304.00	Professional		$132.88	$304.00	$304.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.47 / $500.58 / $885.71	Facility		$112.47	$500.58	$885.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $199.07 / $335.25	Professional		$72.09	$199.07	$335.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.64 / $216.29 / $256.08	Professional		$207.64	$216.29	$256.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $114.20 / $173.03	Facility		$89.98	$114.20	$173.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $141.88 / $173.03	Professional		$141.88	$141.88	$173.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $121.12 / $200.71 / $422.54	Facility		$121.12	$200.71	$422.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $200.71 / $422.54	Professional		$121.12	$200.71	$422.54
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $86.52 / $173.03	Professional		$72.67	$86.52	$173.03