Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $164.60 / $454.29	Facility		$164.60	$164.60	$454.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.60 / $279.81	Professional		$164.59	$164.60	$279.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.75 / $159.75 / $159.75	Professional		$159.75	$159.75	$159.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.09 / $187.09 / $187.09	Professional		$187.09	$187.09	$187.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.04 / $187.04 / $250.69	Facility		$187.04	$187.04	$250.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $167.84 / $177.69 / $230.54	Facility		$167.84	$177.69	$230.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $177.69 / $230.54	Professional		$167.84	$177.69	$230.54
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $187.09 / $200.09	Professional		$156.69	$187.09	$200.09