Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $61.66 / $177.83	Facility		$7.08	$61.66	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $61.66 / $79.43	Professional		$7.08	$61.66	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $436.52 / $524.81	Facility		$331.13	$436.52	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $64.57	Professional		$45.71	$45.71	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $162.18 / $426.58	Facility		$54.95	$162.18	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $95.50 / $120.23	Professional		$34.67	$95.50	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $123.03	Professional		$83.18	$100.00	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $66.07 / $95.50	Facility		$43.65	$66.07	$95.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $177.83	Professional		$69.18	$69.18	$177.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $95.50 / $213.80	Facility		$58.88	$95.50	$213.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $173.78	Professional		$58.88	$95.50	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $83.18 / $100.00	Facility		$35.48	$83.18	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $63.10	Professional		$35.48	$38.02	$63.10