Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.72 / $117.40 / $117.40	Facility		$114.72	$117.40	$117.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $104.73 / $118.44	Professional		$62.92	$104.73	$118.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $25.60 / $37.11	Professional		$14.75	$25.60	$37.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $96.56 / $96.56	Facility		$96.56	$96.56	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.13 / $298.13 / $298.13	Professional		$298.13	$298.13	$298.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.06 / $31.81	Professional		$17.38	$24.06	$31.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.30 / $110.84 / $149.13	Facility		$65.30	$110.84	$149.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $180.92 / $203.11	Professional		$33.00	$180.92	$203.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.73 / $152.38 / $247.71	Facility		$106.73	$152.38	$247.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $152.38 / $247.71	Professional		$106.73	$152.38	$247.71
United Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $150.44 / $239.99	Professional		$84.49	$150.44	$239.99