Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $263.03 / $275.42	Facility		$229.09	$263.03	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $288.40	Professional		$263.03	$263.03	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $380.19	Professional		$229.09	$229.09	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $309.03	Professional		$74.13	$107.15	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $309.03 / $398.11	Facility		$57.54	$309.03	$398.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $295.12 / $436.52	Facility		$281.84	$295.12	$436.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $295.12 / $436.52	Professional		$281.84	$295.12	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $323.59	Professional		$257.04	$309.03	$323.59