Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $122.94 / $430.39	Facility		$122.94	$122.94	$430.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $195.18 / $252.69	Professional		$122.94	$195.18	$252.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.41 / $917.33	Facility		$566.51	$726.41	$917.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $244.45 / $482.26	Facility		$105.78	$244.45	$482.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $90.56 / $148.68	Professional		$82.80	$90.56	$148.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $1,022.00	Professional		$175.00	$175.00	$1,022.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $195.18 / $195.18	Facility		$122.94	$195.18	$195.18
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 $237.60 / $237.60 / $237.60	Professional		$237.60	$237.60	$237.60