Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $180.20 / $441.49	Facility		$180.20	$180.20	$441.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $198.21	Professional		$180.20	$180.20	$198.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $173.28 / $173.28	Professional		$173.28	$173.28	$173.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $203.81 / $203.81	Professional		$175.16	$203.81	$203.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $154.71 / $218.36	Professional		$148.52	$154.71	$218.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $212.00 / $253.48	Facility		$141.25	$212.00	$253.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $232.00 / $232.00	Professional		$139.00	$232.00	$232.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $195.02 / $201.40 / $267.87	Facility		$195.02	$201.40	$267.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $195.02 / $201.40 / $267.87	Professional		$195.02	$201.40	$267.87
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.36 / $229.28	Professional		$181.97	$218.36	$229.28