Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.36 / $159.38 / $486.03	Facility		$61.36	$159.38	$486.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $54.14 / $61.36	Professional		$52.18	$54.14	$61.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $72.19 / $351.57	Facility		$72.19	$72.19	$351.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $43.67	Professional		$28.88	$28.88	$43.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.45 / $134.88 / $369.03	Facility		$47.45	$134.88	$369.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $43.81 / $107.28	Professional		$33.24	$43.81	$107.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $90.24 / $106.84	Professional		$86.63	$90.24	$106.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $72.19	Facility		$52.57	$52.57	$72.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $72.19 / $151.60	Professional		$46.92	$72.19	$151.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $83.94 / $4,071.00	Facility		$50.53	$83.94	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $83.94 / $4,071.00	Professional		$50.53	$83.94	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $36.10 / $72.19	Professional		$30.32	$36.10	$72.19