Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.76 / $250.76 / $386.17	Facility		$250.76	$250.76	$386.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.66 / $250.76 / $386.17	Professional		$208.66	$250.76	$386.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.72 / $405.72 / $430.87	Facility		$405.72	$405.72	$430.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.21 / $396.21 / $396.21	Professional		$396.21	$396.21	$396.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.03 / $474.69 / $600.47	Professional		$357.03	$474.69	$600.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.05 / $267.47 / $420.93	Facility		$215.05	$267.47	$420.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.12 / $152.12 / $205.85	Professional		$152.12	$152.12	$205.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $234.04 / $380.74 / $9,929.00	Facility		$234.04	$380.74	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.04 / $380.74 / $9,929.00	Professional		$234.04	$380.74	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.18 / $319.41 / $563.37	Professional		$198.18	$319.41	$563.37