Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $177.83 / $676.08	Facility		$173.78	$177.83	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $158.49 / $190.55	Professional		$32.36	$158.49	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $245.47	Professional		$120.23	$162.18	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $316.23 / $588.84	Facility		$204.17	$316.23	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $50.12	Professional		$33.88	$46.77	$50.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $194.98 / $323.59	Facility		$51.29	$194.98	$323.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $208.93 / $10,000.00	Facility		$66.07	$208.93	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $208.93 / $10,000.00	Professional		$66.07	$208.93	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $186.21 / $407.38	Facility		$104.71	$186.21	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $371.54	Professional		$128.82	$234.42	$371.54