Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.31 / $113.69 / $400.00	Facility		$100.31	$113.69	$400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $123.89 / $165.13	Professional		$100.31	$123.89	$165.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $139.56 / $191.24	Professional		$104.67	$139.56	$191.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $202.73 / $238.37	Professional		$110.82	$202.73	$238.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.51 / $205.74 / $216.44	Professional		$197.51	$205.74	$216.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.24 / $169.94 / $245.25	Facility		$146.24	$169.94	$245.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $153.00 / $194.00	Professional		$146.24	$153.00	$194.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.54 / $158.01 / $9,929.00	Facility		$95.54	$158.01	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $158.01 / $9,929.00	Professional		$95.54	$158.01	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $53.50 / $53.50	Facility		$53.50	$53.50	$53.50
United Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $143.08 / $274.48	Professional		$84.18	$143.08	$274.48