Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.86 / $91.09 / $91.09	Facility		$89.86	$91.09	$91.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $86.42 / $95.26	Professional		$67.59	$86.42	$95.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $100.02 / $168.05	Professional		$76.30	$100.02	$168.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $94.70 / $94.70	Facility		$94.70	$94.70	$94.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.01 / $396.01 / $396.01	Professional		$396.01	$396.01	$396.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $96.78 / $135.83	Professional		$80.18	$96.78	$135.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.43 / $91.09 / $153.94	Facility		$77.43	$91.09	$153.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $141.65 / $199.15	Professional		$99.45	$141.65	$199.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $102.35 / $180.10	Facility		$54.99	$102.35	$180.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $102.35 / $180.10	Professional		$54.99	$102.35	$180.10
United Facility/Professional Facility Modifier Low / Median / High Price $340.00 / $2,819.00 / $5,226.00	Facility		$340.00	$2,819.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $101.80 / $157.56	Professional		$69.55	$101.80	$157.56