Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $275.39 / $674.73	Facility		$275.39	$275.39	$674.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $316.70	Professional		$275.39	$275.39	$316.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.04	Facility		$0.02	$0.03	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $275.39	Professional		$275.39	$275.39	$275.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Facility		$302.39	$302.39	$302.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $275.00 / $275.00	Professional		$275.00	$275.00	$275.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $324.00 / $419.43	Facility		$324.00	$324.00	$419.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $289.35 / $307.80 / $397.44	Facility		$289.35	$307.80	$397.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $289.35 / $307.80 / $397.44	Professional		$289.35	$307.80	$397.44
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
United Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $315.82 / $324.00	Professional		$247.34	$315.82	$324.00