Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $213.80 / $338.84	Facility		$64.57	$213.80	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $85.11	Professional		$63.10	$67.61	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $346.74	Facility		$114.82	$114.82	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $66.07	Professional		$45.71	$45.71	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $165.96 / $389.05	Facility		$60.26	$165.96	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $56.23 / $3,090.30	Professional		$25.70	$56.23	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $169.82	Professional		$114.82	$138.04	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $74.13 / $128.82	Facility		$42.66	$74.13	$128.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $181.97	Professional		$61.66	$61.66	$181.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $85.11 / $144.54	Facility		$56.23	$85.11	$144.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $144.54	Professional		$56.23	$83.18	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $85.11 / $138.04	Facility		$39.81	$85.11	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $70.79	Professional		$36.31	$42.66	$70.79