Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.96 / $303.58 / $395.93	Facility		$135.96	$303.58	$395.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.96 / $132.76 / $135.96	Professional		$119.96	$132.76	$135.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.49 / $778.96 / $983.69	Facility		$607.49	$778.96	$983.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $82.85	Professional		$9.64	$9.64	$82.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.97 / $462.38 / $818.57	Facility		$103.97	$462.38	$818.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $183.79 / $229.73	Professional		$66.64	$183.79	$229.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.94 / $199.94 / $236.73	Professional		$191.94	$199.94	$236.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $105.57 / $159.94	Facility		$83.17	$105.57	$159.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $159.94	Professional		$131.16	$131.16	$159.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.97 / $185.54 / $390.60	Facility		$111.97	$185.54	$390.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $185.54 / $390.60	Professional		$111.97	$185.54	$390.60
United Facility/Professional Facility Modifier Low / Median / High Price $55.98 / $79.98 / $103.97	Facility		$55.98	$79.98	$103.97
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $79.98 / $159.94	Professional		$67.18	$79.98	$159.94