Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $205.70 / $205.70	Professional		$193.60	$205.70	$205.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $193.60 / $259.50	Professional		$193.60	$193.60	$259.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $96.01 / $124.81	Professional		$79.25	$96.01	$124.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.39 / $242.00 / $313.27	Facility		$203.39	$242.00	$313.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $144.00 / $195.74	Professional		$96.00	$144.00	$195.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.54 / $98.58 / $179.11	Facility		$83.54	$98.58	$179.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $98.58 / $179.11	Professional		$83.54	$98.58	$179.11
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $234.74	Professional		$220.00	$220.00	$234.74