Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.70 / $252.70 / $1,146.60	Facility		$252.70	$252.70	$1,146.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.70 / $315.43 / $315.43	Professional		$252.70	$315.43	$315.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.99 / $242.33 / $306.02	Facility		$188.99	$242.33	$306.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $53.20	Professional		$42.34	$42.34	$53.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.13 / $84.85 / $167.13	Facility		$45.13	$84.85	$167.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.10 / $31.33	Professional		$2.48	$3.10	$31.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $298.00 / $298.00	Professional		$298.00	$298.00	$298.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $252.70 / $315.43 / $455.00	Facility		$252.70	$315.43	$455.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $9,929.00 / $10,945.00	Facility		$4,071.00	$9,929.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $9,929.00 / $10,945.00	Professional		$4,071.00	$9,929.00	$10,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00