Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.48 / $674.48 / $674.48	Facility		$674.48	$674.48	$674.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.76 / $674.48 / $907.92	Professional		$398.76	$674.48	$907.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $994.07 / $994.07 / $994.07	Facility		$994.07	$994.07	$994.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.91 / $905.91 / $905.91	Professional		$905.91	$905.91	$905.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $809.37	Facility		$251.69	$251.69	$809.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $251.69 / $259.24	Professional		$213.94	$251.69	$259.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.07 / $622.89 / $823.60	Professional		$519.07	$622.89	$823.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.80 / $464.94 / $870.27	Facility		$130.80	$464.94	$870.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $983.07 / $983.07 / $983.07	Professional		$983.07	$983.07	$983.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.94 / $132.10 / $994.07	Facility		$71.94	$132.10	$994.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $132.10 / $994.07	Professional		$71.94	$132.10	$994.07
United Facility/Professional Professional Modifier Low / Median / High Price $376.02 / $474.58 / $749.01	Professional		$376.02	$474.58	$749.01