Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.86 / $456.45 / $456.45	Facility		$449.86	$456.45	$456.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.27 / $456.45 / $687.28	Professional		$447.27	$456.45	$687.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.19 / $560.19 / $560.19	Professional		$560.19	$560.19	$560.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.40 / $559.40 / $633.86	Facility		$559.40	$559.40	$633.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $577.92 / $577.92	Professional		$59.64	$577.92	$577.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $607.85 / $735.95 / $990.18	Professional		$607.85	$735.95	$990.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.89 / $456.45 / $695.88	Facility		$75.89	$456.45	$695.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.77 / $289.04 / $1,155.91	Facility		$54.77	$289.04	$1,155.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $380.60 / $1,155.91	Professional		$54.77	$380.60	$1,155.91
United Facility/Professional Professional Modifier Low / Median / High Price $412.82 / $482.51 / $768.55	Professional		$412.82	$482.51	$768.55