Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.26 / $544.26 / $544.26	Facility		$544.26	$544.26	$544.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.97 / $544.26 / $705.45	Professional		$431.97	$544.26	$705.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $904.85 / $904.85 / $904.85	Facility		$904.85	$904.85	$904.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.69 / $681.69 / $681.69	Professional		$681.69	$681.69	$681.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $369.39	Facility		$369.39	$369.39	$369.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $369.39 / $797.45	Professional		$269.64	$369.39	$797.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.70 / $777.04 / $1,060.24	Professional		$674.70	$777.04	$1,060.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $528.07 / $640.58 / $963.87	Facility		$528.07	$640.58	$963.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $802.34 / $802.34 / $802.34	Professional		$802.34	$802.34	$802.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.06 / $103.97 / $794.29	Facility		$58.06	$103.97	$794.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $103.97 / $794.29	Professional		$58.06	$103.97	$794.29
United Facility/Professional Professional Modifier Low / Median / High Price $409.01 / $476.57 / $681.69	Professional		$409.01	$476.57	$681.69