Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.40 / $704.40 / $704.40	Facility		$704.40	$704.40	$704.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.39 / $704.40 / $867.84	Professional		$321.39	$704.40	$867.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.75 / $618.75 / $618.75	Professional		$618.75	$618.75	$618.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Facility		$134.00	$134.00	$134.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $134.00 / $134.00	Professional		$113.90	$134.00	$134.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $835.43 / $946.83 / $1,113.91	Professional		$835.43	$946.83	$1,113.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.97 / $461.51 / $704.40	Facility		$113.97	$461.51	$704.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $455.00 / $455.00	Professional		$455.00	$455.00	$455.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.14 / $113.97 / $939.20	Facility		$75.14	$113.97	$939.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $130.43 / $939.20	Professional		$75.14	$130.43	$939.20
United Facility/Professional Professional Modifier Low / Median / High Price $334.92 / $475.31 / $721.76	Professional		$334.92	$475.31	$721.76