Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $218.78 / $218.78	Facility		$199.53	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $251.19	Professional		$144.54	$194.98	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $218.78	Professional		$112.20	$112.20	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $223.87	Professional		$218.78	$218.78	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $239.88	Professional		$120.23	$151.36	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $213.80 / $354.81	Facility		$147.91	$213.80	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $309.03 / $1,096.48	Facility		$239.88	$309.03	$1,096.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $1,096.48	Professional		$239.88	$309.03	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $134.90	Professional		$125.89	$125.89	$134.90