Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $870.96 / $1,148.15	Facility		$346.74	$870.96	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $446.68	Professional		$309.03	$346.74	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $2,884.03	Facility		$1,862.09	$2,398.83	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $281.84	Professional		$2.57	$2.57	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,148.15 / $2,398.83	Facility		$467.74	$1,148.15	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $537.03 / $660.69	Professional		$194.98	$537.03	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $691.83	Professional		$467.74	$562.34	$691.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $363.08 / $537.03	Facility		$275.42	$363.08	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $977.24	Professional		$380.19	$380.19	$977.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $1,174.90	Facility		$323.59	$512.86	$1,174.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $1,174.90	Professional		$323.59	$524.81	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $467.74 / $562.34	Facility		$194.98	$467.74	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $346.74	Professional		$194.98	$208.93	$346.74