Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $131.83 / $245.47	Facility		$45.71	$131.83	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $58.88	Professional		$40.74	$46.77	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $251.19	Facility		$61.66	$61.66	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $57.54	Professional		$38.90	$45.71	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $120.23 / $281.84	Facility		$43.65	$120.23	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $70.79 / $89.13	Professional		$25.70	$70.79	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $91.20	Professional		$61.66	$74.13	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $75.86	Facility		$40.74	$51.29	$75.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $131.83	Professional		$51.29	$51.29	$131.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $257.04	Facility		$38.90	$74.13	$257.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $257.04	Professional		$40.74	$75.86	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $61.66 / $74.13	Facility		$26.30	$61.66	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.18 / $46.77	Professional		$26.30	$28.18	$46.77