Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $79.43	Professional		$39.81	$56.23	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $112.20	Professional		$63.10	$81.28	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $123.03	Professional		$57.54	$79.43	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $112.20	Professional		$95.50	$95.50	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $61.66 / $97.72	Facility		$43.65	$61.66	$97.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $77.62 / $102.33	Facility		$51.29	$77.62	$102.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $123.03	Professional		$61.66	$95.50	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $151.36	Professional		$48.98	$74.13	$151.36