Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $117.49 / $154.88	Facility		$45.71	$117.49	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $61.66	Professional		$40.74	$46.77	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $323.59 / $389.05	Facility		$251.19	$323.59	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $47.86	Professional		$31.62	$31.62	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $154.88 / $316.23	Facility		$63.10	$154.88	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $70.79 / $120.23	Professional		$25.70	$70.79	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $91.20	Professional		$61.66	$74.13	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $48.98 / $70.79	Facility		$32.36	$48.98	$70.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $131.83	Professional		$51.29	$51.29	$131.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $70.79 / $158.49	Facility		$43.65	$70.79	$158.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $158.49	Professional		$43.65	$70.79	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $61.66 / $74.13	Facility		$26.30	$61.66	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.18 / $46.77	Professional		$26.30	$28.18	$46.77