Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $109.24 / $385.17	Facility		$96.39	$109.24	$385.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $115.25 / $161.26	Professional		$96.39	$115.25	$161.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $134.13 / $183.81	Professional		$100.51	$134.13	$183.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $175.82 / $342.88	Professional		$97.52	$175.82	$342.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.44 / $177.54 / $187.41	Professional		$170.44	$177.54	$187.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.63 / $157.38 / $235.68	Facility		$126.63	$157.38	$235.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $184.00 / $184.00	Professional		$150.00	$184.00	$184.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $84.99 / $152.19 / $9,929.00	Facility		$84.99	$152.19	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $152.19 / $9,929.00	Professional		$84.99	$152.19	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $125.11 / $236.26	Professional		$78.98	$125.11	$236.26