Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.01 / $211.44 / $307.06	Facility		$81.01	$211.44	$307.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $81.01 / $81.01	Professional		$64.33	$81.01	$81.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $417.70	Facility		$114.43	$114.43	$417.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $51.89	Professional		$45.77	$45.77	$51.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.37 / $160.27 / $439.50	Facility		$56.37	$160.27	$439.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $55.75 / $2,679.02	Professional		$28.42	$55.75	$2,679.02
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 $42.89 / $71.19 / $114.43	Facility		$42.89	$71.19	$114.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $95.30 / $180.12	Professional		$61.95	$95.30	$180.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $82.98 / $114.43	Facility		$42.89	$82.98	$114.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $82.98 / $137.58	Professional		$55.75	$82.98	$137.58
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $47.65 / $85.77	Professional		$36.02	$47.65	$85.77