Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $309.16 / $876.20	Facility		$136.66	$309.16	$876.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.66 / $180.00 / $198.18	Professional		$100.66	$180.00	$198.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.69 / $165.00 / $263.87	Professional		$78.69	$165.00	$263.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $110.66 / $143.86	Professional		$93.82	$110.66	$143.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.70 / $179.51 / $257.13	Facility		$102.70	$179.51	$257.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $123.00 / $238.20	Professional		$65.42	$123.00	$238.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.29 / $156.54 / $346.99	Facility		$74.29	$156.54	$346.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $176.30 / $404.73	Professional		$97.63	$176.30	$404.73
United Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $192.37 / $346.06	Professional		$106.21	$192.37	$346.06