Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $104.71	Professional		$83.18	$83.18	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $138.04	Professional		$81.28	$81.28	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $95.50	Professional		$93.33	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $154.88	Professional		$102.33	$131.83	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $128.82	Facility		$67.61	$100.00	$128.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $97.72 / $144.54	Facility		$93.33	$97.72	$144.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $144.54	Professional		$93.33	$97.72	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $131.83	Professional		$85.11	$109.65	$131.83