Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.22 / $4,032.00 / $8,920.00	Facility		$102.22	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $100.31 / $111.97	Professional		$85.61	$100.31	$111.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $63.17 / $105.74	Professional		$48.92	$63.17	$105.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.58 / $102.58 / $640.00	Facility		$102.58	$102.58	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.20 / $427.20 / $427.20	Professional		$427.20	$427.20	$427.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $109.93 / $127.19	Professional		$85.95	$109.93	$127.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.55 / $108.35 / $170.02	Facility		$86.55	$108.35	$170.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $158.99 / $212.09	Professional		$125.37	$158.99	$212.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $139.13 / $1,380.00	Facility		$89.98	$139.13	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $139.13 / $1,380.00	Professional		$89.98	$139.13	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $828.00 / $2,364.00	Facility		$217.00	$828.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $111.53 / $177.48	Professional		$74.34	$111.53	$177.48