Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.40 / $159.40 / $245.48	Facility		$159.40	$159.40	$245.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $159.40 / $245.48	Professional		$132.63	$159.40	$245.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $257.89 / $273.89	Facility		$257.89	$257.89	$273.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.86 / $251.86 / $251.86	Professional		$251.86	$251.86	$251.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Facility		$140.00	$140.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.95 / $301.74 / $381.69	Professional		$226.95	$301.74	$381.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.81 / $170.02 / $267.57	Facility		$136.81	$170.02	$267.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $130.69	Professional		$96.58	$96.58	$130.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $148.77 / $242.01 / $9,929.00	Facility		$148.77	$242.01	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $148.77 / $242.01 / $9,929.00	Professional		$148.77	$242.01	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.97 / $171.55 / $369.14	Professional		$125.97	$171.55	$369.14