Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $60.40 / $222.79	Facility		$50.93	$60.40	$222.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $60.50 / $84.42	Professional		$50.93	$60.50	$84.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $58.58 / $58.58 / $68.92	Professional	25	$58.58	$58.58	$68.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $71.95 / $98.59	Professional		$53.96	$71.95	$98.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $98.29 / $176.40	Professional		$62.84	$98.29	$176.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $99.83 / $104.81	Professional		$95.83	$99.83	$104.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.81 / $87.85 / $124.53	Facility		$70.81	$87.85	$124.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $78.00 / $101.00	Professional		$70.81	$78.00	$101.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $81.23 / $9,929.00	Facility		$49.58	$81.23	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $81.23 / $9,929.00	Professional		$49.58	$81.23	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $76.70 / $141.33	Professional		$43.15	$76.70	$141.33