Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $20.59 / $184.27	Facility		$7.89	$20.59	$184.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $7.89 / $67.01	Professional		$7.89	$7.89	$67.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.12 / $407.91 / $515.12	Facility		$318.12	$407.91	$515.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $50.67	Professional		$45.77	$45.77	$50.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $155.78 / $429.41	Facility		$54.44	$155.78	$429.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $96.23 / $120.29	Professional		$34.90	$96.23	$120.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $104.70 / $123.96	Professional		$100.51	$104.70	$123.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $64.50 / $96.32	Facility		$43.55	$64.50	$96.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $83.76 / $175.90	Professional		$68.68	$83.76	$175.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.63 / $97.16 / $204.54	Facility		$58.63	$97.16	$204.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $97.40 / $170.62	Professional		$58.55	$97.40	$170.62
United Facility/Professional Facility Modifier Low / Median / High Price $75.38 / $83.76 / $125.64	Facility		$75.38	$83.76	$125.64
United Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $37.69 / $54.44	Professional		$35.18	$37.69	$54.44