Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.27 / $217.19 / $283.26	Facility		$97.27	$217.19	$283.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $97.27 / $97.27	Professional		$85.82	$97.27	$97.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.61 / $557.27 / $703.74	Facility		$434.61	$557.27	$703.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $31.92 / $63.85	Professional		$31.92	$31.92	$63.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $331.10 / $585.40	Facility		$74.38	$331.10	$585.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $131.75 / $164.68	Professional		$47.68	$131.75	$164.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $143.04 / $169.36	Professional		$137.32	$143.04	$169.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $75.52 / $114.43	Facility		$59.50	$75.52	$114.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $93.83 / $114.43	Professional		$93.83	$93.83	$114.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $132.74 / $279.44	Facility		$80.09	$132.74	$279.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $132.74 / $279.44	Professional		$80.09	$132.74	$279.44
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $57.22 / $163.63	Professional		$48.06	$57.22	$163.63