Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $271.75 / $683.36	Facility		$78.17	$271.75	$683.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.96 / $169.96 / $265.13	Professional		$169.96	$169.96	$265.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $170.09 / $170.09	Professional		$170.09	$170.09	$170.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Facility		$186.76	$186.76	$186.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $186.76 / $186.76	Professional		$87.16	$186.76	$186.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.95 / $363.21 / $378.34	Professional		$199.95	$363.21	$378.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.23 / $199.95 / $258.85	Facility		$89.23	$199.95	$258.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $178.70 / $189.95 / $245.45	Facility		$178.70	$189.95	$245.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $178.70 / $189.95 / $245.45	Professional		$178.70	$189.95	$245.45
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $199.95 / $209.95	Professional		$166.75	$199.95	$209.95