Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $75.86 / $75.86	Facility		$66.07	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $91.20	Professional		$48.98	$66.07	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $169.82	Professional		$87.10	$87.10	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $239.88	Professional		$112.20	$134.90	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $79.43 / $186.21	Facility		$58.88	$79.43	$186.21
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 $114.82 / $138.04 / $524.81	Facility		$114.82	$138.04	$524.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $524.81	Professional		$114.82	$138.04	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $125.89	Professional		$91.20	$102.33	$125.89