Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.13 / $242.53 / $511.15	Facility		$115.13	$242.53	$511.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $130.47 / $158.52	Professional		$115.13	$130.47	$158.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $153.50 / $747.55	Facility		$153.50	$153.50	$747.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $61.40 / $81.13	Professional		$61.40	$61.40	$81.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.78 / $256.43 / $786.72	Facility		$99.78	$256.43	$786.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $118.45 / $229.31	Professional		$69.95	$118.45	$229.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $191.88 / $227.18	Professional		$184.20	$191.88	$227.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.47 / $159.71 / $159.71	Facility		$130.47	$159.71	$159.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $153.50 / $322.35	Professional		$99.78	$153.50	$322.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.45 / $186.50 / $7,420.00	Facility		$107.45	$186.50	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $186.50 / $7,420.00	Professional		$107.45	$186.50	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $76.75 / $153.50	Professional		$64.47	$76.75	$153.50