Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.35 / $287.48 / $287.48	Facility		$267.35	$287.48	$287.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.02 / $272.36 / $308.39	Professional		$255.02	$272.36	$308.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $218.51 / $258.47	Professional		$32.28	$218.51	$258.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $291.38 / $385.27	Professional		$210.44	$291.38	$385.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $255.02 / $287.48 / $387.66	Facility		$255.02	$287.48	$387.66
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 $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47