Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.42 / $119.42 / $119.42	Facility		$119.42	$119.42	$119.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $119.42 / $119.42	Professional		$68.23	$119.42	$119.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $117.23 / $138.22	Professional		$94.40	$117.23	$138.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $94.04 / $94.04	Professional		$94.04	$94.04	$94.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $102.76 / $129.00	Professional		$85.64	$102.76	$129.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $43.85 / $126.14	Facility		$39.86	$43.85	$126.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $124.80	Professional		$124.80	$124.80	$124.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $102.33 / $125.49	Facility		$76.00	$102.33	$125.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $102.33 / $125.49	Professional		$76.00	$102.33	$125.49
United Facility/Professional Professional Modifier Low / Median / High Price $69.26 / $91.92 / $171.27	Professional		$69.26	$91.92	$171.27