Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.94 / $201.00 / $201.00	Facility		$168.94	$201.00	$201.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $168.94 / $201.00	Professional		$130.37	$168.94	$201.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $171.37 / $212.82	Professional		$140.16	$171.37	$212.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.89 / $182.89 / $182.89	Facility		$182.89	$182.89	$182.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $151.09 / $201.46	Professional		$109.12	$151.09	$201.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.07 / $177.65 / $253.41	Facility		$138.07	$177.65	$253.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $267.00 / $309.00	Professional		$205.00	$267.00	$309.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $153.63 / $214.13 / $789.41	Facility		$153.63	$214.13	$789.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $214.13 / $789.41	Professional		$153.63	$214.13	$789.41
United Facility/Professional Professional Modifier Low / Median / High Price $131.49 / $221.22 / $385.49	Professional		$131.49	$221.22	$385.49