Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.50 / $1,626.00 / $3,152.00	Facility		$206.50	$1,626.00	$3,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $206.50 / $275.00	Professional		$171.00	$206.50	$275.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $245.91 / $330.74	Professional		$0.02	$245.91	$330.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.70 / $662.24 / $882.98	Facility		$223.70	$662.24	$882.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.52 / $400.00 / $935.47	Professional		$270.52	$400.00	$935.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.08 / $230.50 / $282.48	Professional		$192.08	$230.50	$282.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.59 / $239.19 / $372.32	Facility		$187.59	$239.19	$372.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $194.00 / $471.58	Professional		$112.08	$194.00	$471.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.84 / $154.26 / $330.51	Facility		$88.84	$154.26	$330.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.69 / $237.49 / $391.09	Professional		$95.69	$237.49	$391.09
United Facility/Professional Facility Modifier Low / Median / High Price $174.35 / $250.18 / $250.18	Facility		$174.35	$250.18	$250.18
United Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $137.33 / $226.98	Professional		$85.90	$137.33	$226.98