Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $75.59 / $266.80	Facility		$64.98	$75.59	$266.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $75.59 / $92.37	Professional		$64.98	$75.59	$92.37
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.44 / $75.44 / $75.44	Professional	25	$75.44	$75.44	$75.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $92.92 / $127.33	Professional		$69.69	$92.92	$127.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $105.77 / $218.30	Professional		$73.45	$105.77	$218.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $107.36 / $113.03	Professional		$103.07	$107.36	$113.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.37 / $112.60 / $163.08	Facility		$76.37	$112.60	$163.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $133.00 / $133.00	Professional		$106.00	$133.00	$133.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.53 / $104.18 / $9,929.00	Facility		$63.53	$104.18	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $104.18 / $9,929.00	Professional		$63.53	$104.18	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $94.42 / $184.10	Professional		$56.72	$94.42	$184.10