Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.42 / $98.42 / $98.42	Facility		$98.42	$98.42	$98.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $98.42 / $132.13	Professional		$85.53	$98.42	$132.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.63 / $163.63 / $163.63	Facility		$163.63	$163.63	$163.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $130.15 / $130.15	Professional		$130.15	$130.15	$130.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $70.53	Facility		$70.53	$70.53	$70.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $70.53 / $147.05	Professional		$51.49	$70.53	$147.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $143.94 / $201.53	Professional		$127.01	$143.94	$201.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.97 / $118.87 / $199.17	Facility		$101.97	$118.87	$199.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $131.19 / $131.19	Professional		$131.19	$131.19	$131.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $19.52 / $163.63	Facility		$11.15	$19.52	$163.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $19.52 / $163.63	Professional		$11.15	$19.52	$163.63
United Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $93.70 / $141.40	Professional		$80.59	$93.70	$141.40