Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $151.27 / $151.27	Professional		$142.38	$151.27	$151.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $142.38 / $190.84	Professional		$142.38	$142.38	$190.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $107.19 / $139.35	Professional		$88.48	$107.19	$139.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $177.97 / $230.38	Facility		$151.27	$177.97	$230.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $160.00 / $218.54	Professional		$107.00	$160.00	$218.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.06 / $97.16 / $189.40	Facility		$91.06	$97.16	$189.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $97.16 / $189.40	Professional		$91.06	$97.16	$189.40
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $177.97	Professional		$161.79	$161.79	$177.97