Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $335.52 / $646.35	Facility		$39.57	$335.52	$646.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.84 / $39.57	Professional		$19.00	$24.84	$39.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.28 / $220.90 / $278.95	Facility		$172.28	$220.90	$278.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $17.36 / $20.86	Professional		$17.36	$17.36	$20.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $79.41 / $179.62	Facility		$22.84	$79.41	$179.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $26.06 / $58.85	Professional		$19.03	$26.06	$58.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $56.99 / $58.32	Professional		$55.98	$56.99	$58.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $25.58 / $30.57	Facility		$25.58	$25.58	$30.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $37.85 / $49.18	Professional		$14.48	$37.85	$49.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $55.63 / $4,071.00	Facility		$34.67	$55.63	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.24 / $4,071.00	Professional		$34.67	$56.24	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.25 / $32.17	Professional		$19.57	$24.25	$32.17