Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.21 / $222.86 / $424.45	Facility		$205.21	$222.86	$424.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $205.21 / $222.86	Professional		$143.34	$205.21	$222.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $288.00 / $373.59	Professional		$288.00	$288.00	$373.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Facility		$306.00	$306.00	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $374.77 / $381.56	Professional		$266.20	$374.77	$381.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $236.23 / $375.53	Facility		$4.72	$236.23	$375.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $383.96 / $462.00 / $636.74	Professional		$383.96	$462.00	$636.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $307.50 / $441.00	Facility		$285.00	$307.50	$441.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $307.50 / $441.00	Professional		$285.00	$307.50	$441.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $360.00	Professional		$300.00	$300.00	$360.00