Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $130.81 / $212.27	Facility		$63.47	$130.81	$212.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $57.20 / $63.47	Professional		$51.69	$57.20	$63.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.92 / $68.92 / $335.64	Facility		$68.92	$68.92	$335.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $41.69	Professional		$32.40	$32.40	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $151.57 / $352.29	Facility		$44.80	$151.57	$352.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $68.79 / $129.79	Professional		$28.72	$68.79	$129.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $86.15 / $102.00	Professional		$82.70	$86.15	$102.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $36.53 / $68.92	Facility		$36.53	$36.53	$68.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $81.03 / $144.72	Professional		$52.67	$81.03	$144.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.31 / $89.94 / $7,420.00	Facility		$50.31	$89.94	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $89.94 / $7,420.00	Professional		$50.31	$89.94	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $36.46 / $60.77	Professional		$28.95	$36.46	$60.77