Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $213.80 / $275.42	Facility		$83.18	$213.80	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $107.15	Professional		$75.86	$85.11	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $691.83	Facility		$446.68	$588.84	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $67.61	Professional		$6.92	$6.92	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $575.44	Facility		$114.82	$275.42	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $128.82 / $162.18	Professional		$46.77	$128.82	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $165.96	Professional		$112.20	$134.90	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $87.10 / $128.82	Facility		$58.88	$87.10	$128.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $234.42	Professional		$91.20	$91.20	$234.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $281.84	Facility		$77.62	$123.03	$281.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $281.84	Professional		$77.62	$128.82	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $112.20 / $134.90	Facility		$46.77	$112.20	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $83.18	Professional		$46.77	$50.12	$83.18