Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.27 / $93.29 / $312.69	Facility		$78.27	$93.29	$312.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $104.35 / $138.38	Professional		$78.27	$104.35	$138.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $113.18 / $148.13	Professional		$89.89	$113.18	$148.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $112.57 / $184.69	Professional		$91.11	$112.57	$184.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $173.69 / $183.65	Professional		$166.74	$173.69	$183.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $127.79 / $191.36	Facility		$109.83	$127.79	$191.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $123.00 / $123.00	Professional		$119.00	$123.00	$123.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.18 / $124.09 / $9,929.00	Facility		$79.18	$124.09	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $124.09 / $9,929.00	Professional		$79.18	$124.09	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $111.13 / $214.47	Professional		$53.69	$111.13	$214.47