Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $98.16 / $140.13	Facility		$56.69	$98.16	$140.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.16 / $134.00	Professional		$98.15	$98.16	$134.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $207.12 / $333.74	Facility		$98.16	$207.12	$333.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $103.33 / $117.79	Professional		$83.44	$103.33	$117.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $106.98	Facility		$98.16	$98.16	$106.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $94.35 / $126.92	Facility		$83.49	$94.35	$126.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $94.35 / $126.92	Professional		$83.49	$94.35	$126.92
United Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $83.49 / $83.49	Facility		$83.49	$83.49	$83.49
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $103.33 / $103.48	Professional		$86.23	$103.33	$103.48