Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $122.25 / $159.44	Facility		$48.31	$122.25	$159.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $52.82 / $54.75	Professional		$48.31	$52.82	$54.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.63 / $313.68 / $396.12	Facility		$244.63	$313.68	$396.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $11.94 / $33.36	Professional		$11.94	$11.94	$33.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $186.12 / $330.47	Facility		$41.87	$186.12	$330.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $73.93 / $92.41	Professional		$26.84	$73.93	$92.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $80.51 / $95.33	Professional		$77.29	$80.51	$95.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $50.24 / $74.06	Facility		$33.49	$50.24	$74.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $64.41 / $135.26	Professional		$52.82	$64.41	$135.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $76.47 / $4,071.00	Facility		$45.09	$76.47	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $76.47 / $4,071.00	Professional		$45.09	$76.47	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $27.05 / $27.05	Facility		$27.05	$27.05	$27.05
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $32.21 / $48.31	Professional		$27.05	$32.21	$48.31