Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.36 / $213.36 / $213.36	Facility		$213.36	$213.36	$213.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.36 / $213.36 / $263.97	Professional		$213.36	$213.36	$263.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $216.74 / $298.19	Professional		$170.32	$216.74	$298.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.27 / $285.81 / $526.37	Professional		$208.27	$285.81	$526.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.19 / $243.83 / $300.72	Professional		$203.19	$243.83	$300.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.19 / $283.92 / $404.40	Facility		$203.19	$283.92	$404.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.27 / $261.00 / $508.10	Professional		$220.27	$261.00	$508.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $208.13 / $299.24 / $570.98	Facility		$208.13	$299.24	$570.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $208.13 / $306.45 / $570.98	Professional		$208.13	$306.45	$570.98
United Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $307.94 / $456.46	Professional		$193.13	$307.94	$456.46