Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $91.20	Professional		$57.54	$79.43	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $120.23	Professional		$70.79	$91.20	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $104.71	Professional		$57.54	$79.43	$104.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $7,413.10	Professional		$75.86	$104.71	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $177.83	Professional		$63.10	$102.33	$177.83