Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $151.36 / $177.83	Facility		$131.83	$151.36	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $218.78	Professional		$131.83	$154.88	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $251.19	Professional		$154.88	$199.53	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $239.88	Professional		$154.88	$162.18	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $251.19	Professional		$158.49	$181.97	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $177.83 / $199.53	Facility		$114.82	$177.83	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $162.18 / $208.93	Facility		$125.89	$162.18	$208.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $208.93	Professional		$125.89	$162.18	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $302.00	Professional		$117.49	$173.78	$302.00