Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.12 / $246.24 / $257.18	Facility		$212.12	$246.24	$257.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $223.16 / $258.99	Professional		$202.54	$223.16	$258.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $176.36 / $207.49	Professional		$32.28	$176.36	$207.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.91 / $267.10 / $353.17	Professional		$192.91	$267.10	$353.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.08 / $246.24 / $332.42	Facility		$206.08	$246.24	$332.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $4,071.00 / $4,071.00	Facility		$4,071.00	$4,071.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $4,071.00 / $4,071.00	Professional		$4,071.00	$4,071.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49