Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $409.48 / $809.96	Facility		$374.98	$409.48	$809.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $352.92 / $352.92	Professional		$352.92	$352.92	$352.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $10.11 / $441.15	Professional		$9.72	$10.11	$441.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $381.42 / $571.09	Facility		$19.14	$381.42	$571.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $349.25 / $367.63 / $470.57	Facility		$349.25	$367.63	$470.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $349.25 / $367.63 / $470.57	Professional		$349.25	$367.63	$470.57
United Facility/Professional Professional Modifier Low / Median / High Price $356.60 / $367.63 / $441.15	Professional		$356.60	$367.63	$441.15