Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.39 / $117.39 / $117.39	Facility		$117.39	$117.39	$117.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.52 / $117.39 / $123.65	Professional		$84.52	$117.39	$123.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.28 / $160.28 / $160.28	Facility		$160.28	$160.28	$160.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.52 / $560.00 / $560.00	Professional		$156.52	$560.00	$560.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $98.45	Facility		$98.45	$98.45	$98.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $98.45 / $98.45	Professional		$83.68	$98.45	$98.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $136.24 / $176.31	Professional		$112.20	$136.24	$176.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.78 / $102.77 / $160.28	Facility		$99.78	$102.77	$160.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.52 / $156.52 / $156.52	Professional		$156.52	$156.52	$156.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $21.50 / $172.17	Facility		$12.83	$21.50	$172.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $21.50 / $172.17	Professional		$12.83	$21.50	$172.17
United Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $64.84 / $126.39	Facility		$7.85	$64.84	$126.39
United Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $93.91 / $133.04	Professional		$79.81	$93.91	$133.04