Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $646.44 / $1,285.44	Facility		$572.96	$646.44	$1,285.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $601.61 / $601.61	Professional		$572.96	$601.61	$601.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $1,208.95 / $1,948.06	Facility		$572.96	$1,208.95	$1,948.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.53 / $540.53 / $572.96	Facility		$540.53	$540.53	$572.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.02 / $687.55 / $1,129.79	Professional		$487.02	$687.55	$1,129.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $572.96 / $916.25	Facility		$572.96	$572.96	$916.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $544.30 / $670.34 / $760.80	Facility		$544.30	$670.34	$760.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $544.30 / $670.34 / $760.80	Professional		$544.30	$670.34	$760.80
United Facility/Professional Professional Modifier Low / Median / High Price $563.71 / $572.96 / $719.06	Professional		$563.71	$572.96	$719.06