Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $741.31 / $977.24	Facility		$295.12	$741.31	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $371.54	Professional		$263.03	$295.12	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,454.71	Facility		$1,548.82	$2,041.74	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $234.42	Professional		$45.71	$45.71	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $977.24 / $1,995.26	Facility		$398.11	$977.24	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $446.68 / $562.34	Professional		$162.18	$446.68	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $575.44	Professional		$389.05	$467.74	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $389.05	Facility		$234.42	$234.42	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $1,000.00	Facility		$275.42	$446.68	$1,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $1,000.00	Professional		$275.42	$446.68	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $389.05 / $467.74	Facility		$165.96	$389.05	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $295.12	Professional		$165.96	$177.83	$295.12