Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.35 / $61.60 / $216.84	Facility		$54.35	$61.60	$216.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $65.87 / $88.47	Professional		$54.35	$65.87	$88.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $79.68 / $103.55	Professional		$62.83	$79.68	$103.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $85.93 / $128.63	Professional		$68.78	$85.93	$128.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $108.84 / $114.67	Professional		$104.48	$108.84	$114.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $88.74 / $132.88	Facility		$77.48	$88.74	$132.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $96.00 / $96.00	Professional		$83.00	$96.00	$96.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $53.66 / $86.23 / $9,929.00	Facility		$53.66	$86.23	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $86.23 / $9,929.00	Professional		$54.24	$86.23	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $88.34 / $150.02	Professional		$41.22	$88.34	$150.02