Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.39 / $276.30 / $1,038.89	Facility		$271.39	$276.30	$1,038.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.06 / $262.17 / $276.30	Professional		$205.06	$262.17	$276.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.90 / $841.16 / $1,167.92	Professional		$671.90	$841.16	$1,167.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $610.00 / $922.09	Facility		$287.45	$610.00	$922.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.06 / $1,202.06 / $1,202.06	Professional		$1,202.06	$1,202.06	$1,202.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.76 / $293.70 / $412.29	Professional		$244.76	$293.70	$412.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.86 / $276.30 / $455.90	Facility		$234.86	$276.30	$455.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $427.98 / $604.41	Professional		$330.00	$427.98	$604.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $339.11 / $583.74	Facility		$251.19	$339.11	$583.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $339.11 / $583.74	Professional		$251.19	$339.11	$583.74
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $327.22 / $501.81	Professional		$211.05	$327.22	$501.81