Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.59 / $215.59 / $215.59	Facility		$215.59	$215.59	$215.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.20 / $215.59 / $231.77	Professional		$127.20	$215.59	$231.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.33 / $208.33 / $208.33	Professional		$208.33	$208.33	$208.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $172.39 / $172.39	Professional		$172.39	$172.39	$172.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.52 / $211.39 / $248.69	Professional		$186.52	$211.39	$248.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.53 / $215.59 / $245.68	Facility		$158.53	$215.59	$245.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.51 / $193.51 / $193.51	Professional		$193.51	$193.51	$193.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $155.72 / $207.64 / $249.17	Facility		$155.72	$207.64	$249.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $207.64 / $249.17	Professional		$155.72	$207.64	$249.17
United Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $228.52 / $360.15	Professional		$141.44	$228.52	$360.15