Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.06 / $332.14 / $967.23	Facility		$293.06	$332.14	$967.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.06 / $320.42 / $332.14	Professional		$293.06	$320.42	$332.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,484.07 / $1,902.95 / $2,403.11	Facility		$1,484.07	$1,902.95	$2,403.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $202.40	Professional		$45.77	$45.77	$202.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.99 / $1,129.49 / $2,001.21	Facility		$253.99	$1,129.49	$2,001.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.81 / $448.93 / $561.16	Professional		$162.81	$448.93	$561.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.90 / $488.44 / $578.30	Professional		$468.90	$488.44	$578.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $257.89 / $390.75	Facility		$234.45	$257.89	$390.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $320.42 / $320.42 / $390.75	Professional		$320.42	$320.42	$390.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $273.52 / $453.27 / $954.21	Facility		$273.52	$453.27	$954.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $273.52 / $453.27 / $954.21	Professional		$273.52	$453.27	$954.21
United Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $164.12 / $164.12	Facility		$164.12	$164.12	$164.12
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $175.84 / $390.75	Professional		$164.12	$175.84	$390.75