Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.94 / $563.19 / $1,469.93	Facility		$496.94	$563.19	$1,469.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.94 / $543.32 / $563.19	Professional		$496.94	$543.32	$563.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,516.48 / $3,226.76 / $4,074.87	Facility		$2,516.48	$3,226.76	$4,074.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $343.21	Professional		$12.34	$12.34	$343.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.68 / $2,704.08 / $3,395.15	Facility		$430.68	$2,704.08	$3,395.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.16 / $761.16 / $951.45	Professional		$761.16	$761.16	$951.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.10 / $828.23 / $980.62	Professional		$795.10	$828.23	$980.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $443.93 / $536.69 / $821.60	Facility		$443.93	$536.69	$821.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $543.32 / $543.32 / $662.58	Professional		$543.32	$543.32	$662.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $430.68 / $728.84 / $1,377.97	Facility		$430.68	$728.84	$1,377.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $430.68 / $761.97 / $1,455.69	Professional		$430.68	$761.97	$1,455.69
United Facility/Professional Facility Modifier Low / Median / High Price $278.27 / $278.27 / $278.27	Facility		$278.27	$278.27	$278.27
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $331.29 / $496.94	Professional		$278.27	$331.29	$496.94