Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.40 / $83.40 / $106.59	Facility		$83.40	$83.40	$106.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $93.55 / $116.55	Professional		$55.56	$93.55	$116.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $201.18 / $280.41	Professional		$159.88	$201.18	$280.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $47.22 / $91.03	Facility		$28.63	$47.22	$91.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $102.30 / $228.17	Professional		$64.50	$102.30	$228.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $53.01 / $64.95	Professional		$44.17	$53.01	$64.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.66 / $86.74 / $165.46	Facility		$60.66	$86.74	$165.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $102.00 / $247.00	Professional		$55.34	$102.00	$247.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.07 / $84.97 / $177.10	Facility		$37.07	$84.97	$177.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $104.83 / $266.81	Professional		$40.65	$104.83	$266.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,128.00 / $2,819.00 / $5,226.00	Facility		$1,128.00	$2,819.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $91.46 / $150.36	Professional		$58.63	$91.46	$150.36