Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $117.94 / $153.82	Facility		$46.61	$117.94	$153.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $50.95 / $52.82	Professional		$46.61	$50.95	$52.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.01 / $302.62 / $382.16	Facility		$236.01	$302.62	$382.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $31.92 / $37.59	Professional		$31.92	$31.92	$37.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $179.26 / $318.69	Facility		$40.39	$179.26	$318.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $71.45 / $120.31	Professional		$25.89	$71.45	$120.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $77.68 / $91.97	Professional		$74.56	$77.68	$91.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.31 / $48.47 / $71.45	Facility		$32.31	$48.47	$71.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $62.14 / $130.49	Professional		$50.95	$62.14	$130.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $72.08 / $258.02	Facility		$43.50	$72.08	$258.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $72.08 / $258.02	Professional		$43.50	$72.08	$258.02
United Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $62.14 / $74.56	Facility		$37.28	$62.14	$74.56
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $31.07 / $40.39	Professional		$26.10	$31.07	$40.39