Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $84.49 / $207.00	Facility		$84.49	$84.49	$207.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $131.80	Professional		$84.48	$84.49	$131.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $79.52 / $79.52	Professional		$79.52	$79.52	$79.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $93.50	Professional		$92.77	$92.77	$93.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.53 / $138.81 / $144.59	Professional		$130.53	$138.81	$144.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $99.40 / $128.68	Facility		$67.20	$99.40	$128.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $94.43 / $121.92	Facility		$88.76	$94.43	$121.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $94.43 / $121.92	Professional		$88.76	$94.43	$121.92
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $105.76 / $130.53	Professional		$82.83	$105.76	$130.53