Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $269.15 / $758.58	Facility		$3.98	$269.15	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $269.15 / $338.84	Professional		$3.98	$269.15	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,238.72	Facility		$1,445.44	$1,862.09	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $218.78	Professional		$4.27	$4.27	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $691.83 / $1,819.70	Facility		$234.42	$691.83	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $407.38 / $512.86	Professional		$147.91	$407.38	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $524.81	Professional		$354.81	$426.58	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $407.38	Facility		$208.93	$281.84	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $758.58	Professional		$295.12	$295.12	$758.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $407.38 / $912.01	Facility		$251.19	$407.38	$912.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $741.31	Professional		$251.19	$407.38	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $354.81 / $426.58	Facility		$151.36	$354.81	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $269.15	Professional		$151.36	$162.18	$269.15