Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $190.55	Facility		$151.36	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $190.55	Professional		$117.49	$154.88	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.80 / $20.89	Professional		$10.72	$13.80	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $275.42	Professional		$186.21	$257.04	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $251.19	Facility		$112.20	$186.21	$251.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $177.83 / $10,000.00	Facility		$117.49	$177.83	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $10,000.00	Professional		$117.49	$177.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $251.19	Professional		$104.71	$190.55	$251.19