Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $575.44 / $758.58	Facility		$288.40	$575.44	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $295.12	Professional		$269.15	$281.84	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $316.23 / $524.81	Facility		$154.88	$316.23	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $457.09	Professional		$269.15	$269.15	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $295.12 / $346.74	Facility		$154.88	$295.12	$346.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $302.00 / $416.87	Facility		$269.15	$302.00	$416.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $416.87	Professional		$269.15	$302.00	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $151.36 / $251.19	Facility		$147.91	$151.36	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $288.40 / $354.81	Professional		$281.84	$288.40	$354.81