Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $117.94 / $191.39	Facility		$46.61	$117.94	$191.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $50.95 / $52.82	Professional		$46.61	$50.95	$52.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $302.62	Facility		$62.14	$62.14	$302.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $45.77	Professional		$45.77	$45.77	$45.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $116.10 / $318.69	Facility		$40.85	$116.10	$318.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $71.45 / $89.31	Professional		$25.89	$71.45	$89.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $77.68 / $91.97	Professional		$74.56	$77.68	$91.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $50.33 / $75.19	Facility		$40.78	$50.33	$75.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $62.14 / $130.49	Professional		$50.95	$62.14	$130.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $75.20 / $259.73	Facility		$38.53	$75.20	$259.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $75.50 / $259.73	Professional		$40.39	$75.50	$259.73
United Facility/Professional Facility Modifier Low / Median / High Price $55.93 / $62.14 / $93.21	Facility		$55.93	$62.14	$93.21
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $31.07 / $40.39	Professional		$26.10	$31.07	$40.39