Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $134.90	Professional		$102.33	$120.23	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $154.88	Professional		$95.50	$123.03	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $128.82	Professional		$91.20	$104.71	$128.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $43.65 / $120.23	Facility		$39.81	$43.65	$120.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $120.23	Facility		$75.86	$107.15	$120.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $120.23	Professional		$75.86	$107.15	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $100.00	Facility		$54.95	$54.95	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $173.78	Professional		$72.44	$114.82	$173.78