Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $58.78 / $84.95	Facility		$58.78	$58.78	$84.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $84.95 / $125.20	Professional		$58.78	$84.95	$125.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $78.20 / $115.01	Professional		$61.36	$78.20	$115.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $302.39	Professional		$202.00	$202.00	$302.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $238.00 / $238.00	Professional		$215.00	$238.00	$238.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $84.95 / $127.43	Facility		$58.78	$84.95	$127.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $340.00 / $361.00	Professional		$303.00	$340.00	$361.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $274.68 / $335.01 / $446.36	Facility		$274.68	$335.01	$446.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $274.68 / $335.01 / $446.36	Professional		$274.68	$335.01	$446.36
United Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $320.00	Professional		$320.00	$320.00	$320.00