Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $316.23 / $316.23	Facility		$204.17	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $316.23	Professional		$147.91	$269.15	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $354.81	Facility		$331.13	$331.13	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $457.09	Professional		$323.59	$323.59	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $537.03	Facility		$181.97	$181.97	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $1,621.81	Professional		$151.36	$151.36	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $501.19	Professional		$302.00	$398.11	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $218.78 / $346.74	Facility		$177.83	$218.78	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $169.82	Professional		$125.89	$125.89	$169.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $338.84 / $10,000.00	Facility		$190.55	$338.84	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $10,000.00	Professional		$190.55	$331.13	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $338.84	Facility		$269.15	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $467.74	Professional		$165.96	$245.47	$467.74