Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $139.96 / $468.00	Facility		$123.50	$139.96	$468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $146.46 / $213.66	Professional		$123.50	$146.46	$213.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $504.07 / $504.07 / $504.07	Professional	25	$504.07	$504.07	$504.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $172.10 / $235.83	Professional		$128.96	$172.10	$235.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $240.13 / $395.80	Professional		$120.35	$240.13	$395.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.22 / $241.90 / $255.92	Professional		$232.22	$241.90	$255.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.92 / $201.62 / $301.93	Facility		$172.92	$201.62	$301.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $236.00 / $236.00	Professional		$190.00	$236.00	$236.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.87 / $196.32 / $9,929.00	Facility		$104.87	$196.32	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $196.32 / $9,929.00	Professional		$104.87	$196.32	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.02 / $165.93 / $304.76	Professional		$104.02	$165.93	$304.76