Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.35 / $3,633.00 / $8,920.00	Facility		$287.35	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $271.67 / $312.58	Professional		$138.99	$271.67	$312.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $128.60	Professional		$0.02	$0.02	$128.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $153.22 / $153.22	Facility		$153.22	$153.22	$153.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.77 / $640.77 / $640.77	Professional		$640.77	$640.77	$640.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $167.90 / $193.10	Professional		$130.47	$167.90	$193.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.43 / $285.01 / $437.63	Facility		$134.43	$285.01	$437.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.25 / $240.00 / $456.00	Professional		$189.25	$240.00	$456.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $173.92 / $331.77 / $607.10	Facility		$173.92	$331.77	$607.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $173.92 / $331.77 / $607.10	Professional		$173.92	$331.77	$607.10
United Facility/Professional Professional Modifier Low / Median / High Price $188.95 / $266.02 / $479.01	Professional		$188.95	$266.02	$479.01