Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $100.60 / $378.26	Facility		$100.60	$100.60	$378.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $100.60 / $106.95	Professional		$74.05	$100.60	$106.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $61.53 / $85.77	Professional		$47.84	$61.53	$85.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $151.38 / $311.24	Facility		$96.94	$151.38	$311.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.37 / $366.37 / $366.37	Professional		$366.37	$366.37	$366.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.18 / $101.38 / $128.26	Professional		$86.18	$101.38	$128.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.08 / $106.95 / $171.12	Facility		$84.08	$106.95	$171.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $154.02 / $203.90	Professional		$124.00	$154.02	$203.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.23 / $111.58 / $427.48	Facility		$83.23	$111.58	$427.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $111.58 / $427.48	Professional		$83.23	$111.58	$427.48
United Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $94.05 / $141.85	Professional		$70.54	$94.05	$141.85