Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.41 / $672.18 / $807.22	Facility		$325.41	$672.18	$807.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $739.40 / $739.40	Professional		$722.00	$739.40	$739.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.90 / $695.90 / $852.47	Professional		$695.90	$695.90	$852.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Facility		$739.40	$739.40	$739.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.57 / $894.33 / $1,052.15	Professional		$638.57	$894.33	$1,052.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $869.88 / $1,220.01	Facility		$739.40	$869.88	$1,220.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $985.32 / $1,187.00 / $1,620.98	Professional		$985.32	$1,187.00	$1,620.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $688.66 / $751.26 / $1,065.59	Facility		$688.66	$751.26	$1,065.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $688.66 / $751.26 / $1,065.59	Professional		$688.66	$751.26	$1,065.59
United Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $85.80 / $143.00	Professional		$83.98	$85.80	$143.00