Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $144.54 / $407.38	Facility		$123.03	$144.54	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $218.78	Professional		$123.03	$158.49	$218.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	25	$501.19	$501.19	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $269.15	Professional		$138.04	$186.21	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $398.11	Professional		$120.23	$239.88	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $281.84	Professional		$162.18	$257.04	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $302.00	Facility		$162.18	$190.55	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $213.80 / $10,000.00	Facility		$104.71	$213.80	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $10,000.00	Professional		$104.71	$213.80	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $316.23	Professional		$109.65	$204.17	$316.23