Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.16 / $99.16 / $99.16	Facility		$99.16	$99.16	$99.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $99.16 / $132.46	Professional		$81.36	$99.16	$132.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Facility		$164.86	$164.86	$164.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $133.37 / $133.37	Professional		$133.37	$133.37	$133.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $126.58	Facility		$111.50	$111.50	$126.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $143.12	Professional		$94.78	$111.50	$143.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $136.22 / $190.71	Professional		$120.20	$136.22	$190.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $89.57 / $181.52	Facility		$57.66	$89.57	$181.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.28 / $158.28 / $158.28	Professional		$158.28	$158.28	$158.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $89.51 / $164.84	Facility		$10.58	$89.51	$164.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $69.58 / $162.80	Professional		$10.58	$69.58	$162.80
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $89.80 / $134.72	Professional		$78.93	$89.80	$134.72