Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $302.00 / $398.11	Facility		$120.23	$302.00	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $151.36	Professional		$107.15	$120.23	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $1,000.00	Facility		$645.65	$831.76	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $97.72	Professional		$9.55	$9.55	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $398.11 / $812.83	Facility		$162.18	$398.11	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $181.97 / $229.09	Professional		$66.07	$181.97	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $234.42	Professional		$158.49	$190.55	$234.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $158.49	Facility		$83.18	$83.18	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $407.38	Facility		$112.20	$181.97	$407.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $407.38	Professional		$112.20	$181.97	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $158.49 / $190.55	Facility		$67.61	$158.49	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $120.23	Professional		$67.61	$72.44	$120.23