Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.20 / $98.16 / $240.49	Facility		$57.20	$98.16	$240.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.16 / $107.97	Professional		$98.15	$98.16	$107.97
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 $51.21 / $98.16 / $149.50	Facility		$51.21	$98.16	$149.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.50 / $94.35 / $126.92	Facility		$83.50	$94.35	$126.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $94.35 / $126.92	Professional		$83.50	$94.35	$126.92
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $103.33 / $117.79	Professional		$98.16	$103.33	$117.79