Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $791.45 / $1,565.50	Facility		$724.77	$791.45	$1,565.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $251.72 / $405.62	Facility		$119.30	$251.72	$405.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.14 / $682.14 / $682.14	Professional		$682.14	$682.14	$682.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Facility		$724.77	$724.77	$724.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.83 / $589.83 / $589.83	Professional		$589.83	$589.83	$589.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $727.33 / $1,103.82	Facility		$67.50	$727.33	$1,103.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $675.03 / $710.56 / $909.52	Facility		$675.03	$710.56	$909.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $675.03 / $710.56 / $909.52	Professional		$675.03	$710.56	$909.52
United Facility/Professional Professional Modifier Low / Median / High Price $689.24 / $710.56 / $710.56	Professional		$689.24	$710.56	$710.56