Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.42 / $112.42 / $112.42	Facility		$112.42	$112.42	$112.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $103.18 / $119.45	Professional		$72.48	$103.18	$119.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $123.01 / $176.83	Professional		$96.19	$123.01	$176.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Facility		$118.31	$118.31	$118.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $92.85	Professional		$92.85	$92.85	$92.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $114.90 / $180.40	Professional		$99.13	$114.90	$180.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $119.45 / $195.14	Facility		$86.87	$119.45	$195.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.81 / $155.96 / $203.39	Professional		$97.81	$155.96	$203.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.42 / $124.03 / $202.50	Facility		$67.42	$124.03	$202.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $124.03 / $202.50	Professional		$68.13	$124.03	$202.50
United Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $123.44 / $194.74	Professional		$84.49	$123.44	$194.74