Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $70.55 / $123.05	Facility		$53.92	$70.55	$123.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $71.45 / $90.53	Professional		$61.11	$71.45	$90.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $86.77 / $105.65	Professional		$71.27	$86.77	$105.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $76.84 / $104.59	Professional		$65.77	$76.84	$104.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $80.48 / $97.20	Professional		$61.26	$80.48	$97.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $71.89 / $83.00	Facility		$55.62	$71.89	$83.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $83.32 / $83.32	Professional		$83.32	$83.32	$83.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.29 / $76.23 / $101.04	Facility		$59.29	$76.23	$101.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $76.23 / $101.04	Professional		$59.29	$76.23	$101.04
United Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $72.23 / $141.91	Professional		$56.49	$72.23	$141.91