Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $112.99 / $112.99	Facility		$104.34	$112.99	$112.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $104.34 / $112.99	Professional		$81.56	$104.34	$112.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $124.70 / $227.68	Professional		$39.35	$124.70	$227.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $112.34 / $485.00	Facility		$112.34	$112.34	$485.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $62.12 / $470.87	Professional		$27.27	$62.12	$470.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $111.13 / $132.30	Professional		$89.96	$111.13	$132.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.53 / $112.99 / $195.33	Facility		$86.53	$112.99	$195.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $155.00 / $221.11	Professional		$129.00	$155.00	$221.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $102.72 / $166.65	Facility		$77.23	$102.72	$166.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $102.72 / $166.65	Professional		$77.23	$102.72	$166.65
United Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $176.20 / $437.50	Professional		$65.70	$176.20	$437.50