Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.83 / $1,062.80 / $3,996.13	Facility		$438.83	$1,062.80	$3,996.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $800.52 / $1,062.80	Professional		$119.32	$800.52	$1,062.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.94 / $419.13 / $618.24	Professional		$306.94	$419.13	$618.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.93 / $140.93 / $140.93	Facility		$140.93	$140.93	$140.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $219.63 / $1,214.80	Professional		$59.79	$219.63	$1,214.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $49.16 / $60.25	Professional		$40.97	$49.16	$60.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $259.44 / $705.19 / $1,753.62	Facility		$259.44	$705.19	$1,753.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $297.14 / $585.95 / $1,686.00	Professional		$297.14	$585.95	$1,686.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $456.32 / $1,169.46 / $2,009.36	Facility		$456.32	$1,169.46	$2,009.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $456.32 / $1,169.46 / $2,009.36	Professional		$456.32	$1,169.46	$2,009.36
United Facility/Professional Professional Modifier Low / Median / High Price $712.16 / $1,241.68 / $1,808.51	Professional		$712.16	$1,241.68	$1,808.51