Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.13 / $399.38 / $399.38	Facility		$272.13	$399.38	$399.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.13 / $399.38 / $549.44	Professional		$272.13	$399.38	$549.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.04 / $427.04 / $427.04	Professional		$427.04	$427.04	$427.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $316.74	Facility		$316.74	$316.74	$316.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $316.74 / $316.74	Professional		$58.97	$316.74	$316.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.78 / $693.33 / $916.74	Professional		$577.78	$693.33	$916.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $281.72 / $451.30	Facility		$67.36	$281.72	$451.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $910.00 / $910.00	Professional		$910.00	$910.00	$910.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $252.86 / $734.14	Facility		$47.34	$252.86	$734.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $293.80 / $734.14	Professional		$47.34	$293.80	$734.14
United Facility/Professional Professional Modifier Low / Median / High Price $249.73 / $293.54 / $536.08	Professional		$249.73	$293.54	$536.08