Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,348.96	Professional		$707.95	$707.95	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $380.19	Professional		$251.19	$251.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,548.82	Professional		$1,288.25	$1,288.25	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $870.96	Professional		$794.33	$870.96	$870.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $741.31 / $1,380.38	Facility		$707.95	$741.31	$1,380.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $14,125.38 / $26,302.68	Facility		$1,995.26	$14,125.38	$26,302.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $14,125.38 / $26,302.68	Professional		$1,995.26	$14,125.38	$26,302.68