Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $86.84 / $122.07	Professional		$78.02	$86.84	$122.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.00 / $420.00 / $970.00	Facility		$236.00	$420.00	$970.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $99.09 / $136.88	Professional		$78.05	$99.09	$136.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.77 / $101.77 / $250.00	Facility		$101.77	$101.77	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $103.05 / $180.83	Professional		$76.93	$103.05	$180.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $101.38 / $145.19	Professional		$86.17	$101.38	$145.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $93.73 / $143.87	Facility		$78.95	$93.73	$143.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $131.43 / $170.80	Professional		$61.60	$131.43	$170.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.23 / $102.78 / $170.44	Facility		$80.23	$102.78	$170.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $102.02 / $158.34	Professional		$80.23	$102.02	$158.34
United Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $89.56 / $142.24	Professional		$61.91	$89.56	$142.24