Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.73 / $103.73 / $103.73	Facility		$103.73	$103.73	$103.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $103.73 / $146.63	Professional		$79.64	$103.73	$146.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.41 / $164.41 / $164.41	Facility		$164.41	$164.41	$164.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $139.97 / $139.97	Professional		$139.97	$139.97	$139.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $153.94	Facility		$129.12	$129.12	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $132.99	Professional		$109.75	$129.12	$132.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.93 / $178.71 / $221.00	Professional		$148.93	$178.71	$221.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $82.42 / $187.94	Facility		$24.34	$82.42	$187.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $182.00 / $182.00	Professional		$182.00	$182.00	$182.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $96.81 / $218.35	Facility		$11.76	$96.81	$218.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $78.40 / $212.08	Professional		$11.76	$78.40	$212.08
United Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $92.30 / $159.22	Professional		$77.33	$92.30	$159.22