Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $121.83 / $158.88	Facility		$48.14	$121.83	$158.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $52.64 / $54.56	Professional		$48.14	$52.64	$54.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.79 / $312.61 / $394.77	Facility		$243.79	$312.61	$394.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $33.25	Professional		$6.91	$6.91	$33.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $119.21 / $328.78	Facility		$41.72	$119.21	$328.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $73.51 / $91.89	Professional		$26.74	$73.51	$91.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $80.23 / $95.00	Professional		$77.03	$80.23	$95.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $50.07 / $73.81	Facility		$33.36	$50.07	$73.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $64.19 / $134.80	Professional		$52.64	$64.19	$134.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.87 / $73.81 / $266.52	Facility		$44.87	$73.81	$266.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $74.45 / $266.52	Professional		$44.93	$74.45	$266.52
United Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $32.10 / $41.72	Professional		$26.96	$32.10	$41.72