Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $72.44	Facility		$67.61	$67.61	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $83.18	Professional		$58.88	$67.61	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $251.19 / $363.08	Professional		$50.12	$251.19	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $165.96	Professional		$64.57	$95.50	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $100.00	Professional		$53.70	$72.44	$100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $120.23	Facility		$61.66	$75.86	$120.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $107.15 / $389.05	Facility		$67.61	$107.15	$389.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $389.05	Professional		$67.61	$107.15	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $147.91	Professional		$58.88	$91.20	$147.91