Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.70 / $1,626.00 / $3,152.00	Facility		$216.70	$1,626.00	$3,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.01 / $216.70 / $275.00	Professional		$164.01	$216.70	$275.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $84.67 / $97.74	Professional		$0.02	$84.67	$97.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.26 / $432.98 / $800.00	Facility		$254.26	$432.98	$800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.23 / $1,064.88 / $1,064.88	Professional		$476.23	$1,064.88	$1,064.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.59 / $258.70 / $306.22	Professional		$215.59	$258.70	$306.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $200.63 / $232.97 / $396.56	Facility		$200.63	$232.97	$396.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $297.08 / $534.60	Professional		$206.00	$297.08	$534.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $259.00 / $459.60	Facility		$174.12	$259.00	$459.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $174.12 / $259.00 / $459.60	Professional		$174.12	$259.00	$459.60
United Facility/Professional Professional Modifier Low / Median / High Price $163.26 / $261.22 / $431.53	Professional		$163.26	$261.22	$431.53