Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $76.76 / $269.85	Facility		$67.73	$76.76	$269.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $86.25 / $128.19	Professional		$67.73	$86.25	$128.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $91.02 / $91.02 / $195.33	Professional	25	$91.02	$91.02	$195.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $94.73 / $129.81	Professional		$71.04	$94.73	$129.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $142.16 / $228.22	Professional		$88.55	$142.16	$228.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.80 / $144.59 / $151.91	Professional		$138.80	$144.59	$151.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.64 / $116.54 / $165.59	Facility		$102.64	$116.54	$165.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $103.00 / $133.00	Professional		$102.64	$103.00	$133.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $107.13 / $9,929.00	Facility		$71.86	$107.13	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $107.13 / $9,929.00	Professional		$71.86	$107.13	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Facility		$37.50	$37.50	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $110.04 / $186.62	Professional		$57.20	$110.04	$186.62