Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.43 / $150.43 / $150.43	Facility		$150.43	$150.43	$150.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $150.43 / $205.57	Professional		$106.04	$150.43	$205.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.09 / $250.09 / $250.09	Facility		$250.09	$250.09	$250.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.08 / $202.08 / $202.08	Professional		$202.08	$202.08	$202.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $218.29	Facility		$166.31	$166.31	$218.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $218.29	Professional		$141.36	$166.31	$218.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.37 / $202.22 / $283.11	Professional		$167.37	$202.22	$283.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $150.43 / $324.14	Facility		$102.96	$150.43	$324.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $337.77 / $337.77 / $337.77	Professional		$337.77	$337.77	$337.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $140.40 / $308.52	Facility		$17.05	$140.40	$308.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $110.64 / $305.61	Professional		$17.05	$110.64	$305.61
United Facility/Professional Professional Modifier Low / Median / High Price $125.53 / $147.79 / $227.71	Professional		$125.53	$147.79	$227.71