Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $150.32 / $176.85	Facility		$132.63	$150.32	$176.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $161.21 / $196.35	Professional		$132.63	$161.21	$196.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.35 / $185.48 / $225.82	Professional		$152.35	$185.48	$225.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.75 / $162.91 / $239.58	Professional		$153.75	$162.91	$239.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.12 / $193.00 / $233.43	Professional		$147.12	$193.00	$233.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.97 / $176.06 / $198.95	Facility		$113.97	$176.06	$198.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.94 / $190.94 / $190.94	Professional		$190.94	$190.94	$190.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $126.32 / $162.41 / $210.66	Facility		$126.32	$162.41	$210.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $126.32 / $162.41 / $210.66	Professional		$126.32	$162.41	$210.66
United Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $154.13 / $297.12	Professional		$114.65	$154.13	$297.12