Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $851.14 / $851.14	Facility		$426.58	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $436.52	Professional		$380.19	$426.58	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $30.20	Professional		$12.59	$16.22	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $724.44	Professional		$630.96	$630.96	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $426.58 / $707.95	Facility		$380.19	$426.58	$707.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76