Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.27 / $217.19 / $409.66	Facility		$97.27	$217.19	$409.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $97.27 / $97.27	Professional		$85.82	$97.27	$97.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $557.27	Facility		$114.43	$114.43	$557.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $69.23	Professional		$45.77	$45.77	$69.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $213.82 / $585.40	Facility		$75.20	$213.82	$585.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $66.94 / $164.68	Professional		$47.68	$66.94	$164.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $143.04 / $169.36	Professional		$137.32	$143.04	$169.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $92.69 / $144.18	Facility		$69.00	$92.69	$144.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $114.43 / $240.30	Professional		$74.38	$114.43	$240.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $110.71 / $143.04	Facility		$70.95	$110.71	$143.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $110.71 / $143.04	Professional		$70.95	$110.71	$143.04
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $57.22 / $74.38	Professional		$48.06	$57.22	$74.38