Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $151.36	Professional		$141.25	$147.91	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $269.15	Professional		$141.25	$141.25	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
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 / $177.83 / $245.47	Facility		$147.91	$177.83	$245.47
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 $87.10 / $100.00 / $426.58	Facility		$87.10	$100.00	$426.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $426.58	Professional		$87.10	$100.00	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $162.18	Professional		$125.89	$158.49	$162.18