Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.49 / $121.49 / $121.49	Facility		$121.49	$121.49	$121.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $121.49 / $160.61	Professional		$102.19	$121.49	$160.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.98 / $201.98 / $201.98	Facility		$201.98	$201.98	$201.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $153.44 / $153.44	Professional		$153.44	$153.44	$153.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $83.15 / $83.15	Facility		$83.15	$83.15	$83.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $83.15 / $177.98	Professional		$60.70	$83.15	$177.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $173.85 / $243.39	Professional		$153.40	$173.85	$243.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.32 / $143.63 / $234.81	Facility		$122.32	$143.63	$234.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.07 / $173.07 / $173.07	Professional		$173.07	$173.07	$173.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $23.78 / $193.50	Facility		$13.54	$23.78	$193.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $23.78 / $193.50	Professional		$13.54	$23.78	$193.50
United Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $108.31 / $172.24	Professional		$92.06	$108.31	$172.24