Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $96.50 / $159.28	Facility		$26.63	$96.50	$159.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $26.00 / $26.63	Professional		$23.50	$26.00	$26.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $31.33 / $152.58	Facility		$31.33	$31.33	$152.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $16.22	Professional		$6.54	$6.54	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $58.53 / $161.01	Facility		$20.59	$58.53	$161.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $35.93 / $44.91	Professional		$13.05	$35.93	$44.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $39.15 / $46.37	Professional		$37.60	$39.15	$46.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $25.38 / $37.90	Facility		$20.56	$25.38	$37.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $31.33 / $65.79	Professional		$25.69	$31.33	$65.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $28.20 / $43.03	Facility		$19.42	$28.20	$43.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $28.20 / $43.03	Professional		$19.42	$28.20	$43.03
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $15.67 / $20.54	Professional		$13.16	$15.67	$20.54