Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $231.84 / $345.40	Facility		$30.00	$231.84	$345.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $39.00 / $320.16	Professional		$30.00	$39.00	$320.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $306.00	Professional		$271.60	$271.60	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $210.00 / $273.00	Professional		$147.00	$210.00	$273.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $284.00 / $360.00	Professional		$168.00	$284.00	$360.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $2,460.00 / $3,184.32	Facility		$48.03	$2,460.00	$3,184.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $272.00 / $332.00	Professional		$256.00	$272.00	$332.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $64.00 / $92.88	Facility		$23.60	$64.00	$92.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $64.00 / $92.88	Professional		$23.60	$64.00	$92.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $57.12 / $79.00	Professional		$45.00	$57.12	$79.00