Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.62 / $461.62 / $6,685.29	Facility		$461.62	$461.62	$6,685.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $461.62 / $461.62	Professional		$461.62	$461.62	$461.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.72 / $1,012.21 / $1,631.05	Facility		$479.72	$1,012.21	$1,631.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $452.57 / $452.57	Professional		$452.57	$452.57	$452.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Facility		$506.88	$506.88	$506.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $506.88 / $506.88	Professional		$169.38	$506.88	$506.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.92 / $227.01 / $543.08	Professional		$217.92	$227.01	$543.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.08 / $487.65 / $543.08	Facility		$108.08	$487.65	$543.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $239.00	Professional		$208.00	$208.00	$239.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $485.02 / $515.92 / $666.19	Facility		$485.02	$515.92	$666.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $485.02 / $515.92 / $666.19	Professional		$485.02	$515.92	$666.19
United Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $543.08 / $570.23	Professional		$452.57	$543.08	$570.23