Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.18 / $186.07 / $218.90	Facility		$164.18	$186.07	$218.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $186.07 / $237.54	Professional		$162.84	$186.07	$237.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $227.78 / $277.33	Professional		$187.10	$227.78	$277.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.17 / $202.20 / $296.56	Professional		$172.17	$202.20	$296.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $210.17 / $254.45	Professional		$160.37	$210.17	$254.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.80 / $191.57 / $218.90	Facility		$140.80	$191.57	$218.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $236.39 / $236.39 / $236.39	Professional		$236.39	$236.39	$236.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $156.36 / $194.45 / $258.18	Facility		$156.36	$194.45	$258.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $156.36 / $194.45 / $258.18	Professional		$156.36	$194.45	$258.18
United Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $188.60 / $368.13	Professional		$141.94	$188.60	$368.13