Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $130.69 / $130.69	Professional		$123.00	$130.69	$130.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $164.86	Professional		$123.00	$123.00	$164.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $77.19 / $138.38	Professional		$57.93	$77.19	$138.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.61 / $153.75 / $199.04	Facility		$127.61	$153.75	$199.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $99.00 / $135.22	Professional		$66.00	$99.00	$135.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.71 / $66.37 / $107.28	Facility		$57.71	$66.37	$107.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $66.37 / $107.28	Professional		$57.71	$66.37	$107.28
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $135.97	Professional		$128.13	$128.13	$135.97