Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $724.44 / $933.25	Facility		$281.84	$724.44	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $363.08	Professional		$257.04	$288.40	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,398.83	Facility		$1,513.56	$1,995.26	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $416.87	Professional		$245.47	$338.84	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $741.31 / $1,949.84	Facility		$251.19	$741.31	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $436.52 / $549.54	Professional		$158.49	$436.52	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $562.34	Professional		$380.19	$457.09	$562.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $302.00 / $436.52	Facility		$229.09	$302.00	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $794.33	Professional		$309.03	$309.03	$794.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $977.24	Facility		$269.15	$436.52	$977.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $870.96	Professional		$269.15	$436.52	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $380.19 / $457.09	Facility		$158.49	$380.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $288.40	Professional		$158.49	$169.82	$288.40