Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $100.04 / $130.46	Facility		$44.80	$100.04	$130.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $44.80 / $44.80	Professional		$39.53	$44.80	$44.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.19 / $256.70 / $324.17	Facility		$200.19	$256.70	$324.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $4.97 / $27.30	Professional		$4.97	$4.97	$27.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $152.83 / $270.08	Facility		$34.26	$152.83	$270.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $60.71 / $75.89	Professional		$21.96	$60.71	$75.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $65.89 / $78.01	Professional		$63.25	$65.89	$78.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $41.11 / $60.62	Facility		$27.41	$41.11	$60.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $52.71 / $110.69	Professional		$43.22	$52.71	$110.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $61.14 / $218.86	Facility		$36.90	$61.14	$218.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $61.14 / $218.86	Professional		$36.90	$61.14	$218.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $26.36 / $34.26	Professional		$22.14	$26.36	$34.26