Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.31 / $285.27 / $456.12	Facility		$158.31	$285.27	$456.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $150.00 / $165.00	Professional		$102.52	$150.00	$165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $133.24 / $217.74	Professional		$27.78	$133.24	$217.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $131.87 / $164.83	Professional		$111.80	$131.87	$164.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.95 / $151.32 / $225.00	Facility		$109.95	$151.32	$225.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $111.62 / $253.13	Professional		$71.45	$111.62	$253.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.25 / $131.62 / $295.57	Facility		$70.25	$131.62	$295.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $155.55 / $350.36	Professional		$85.70	$155.55	$350.36
United Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $147.15 / $228.20	Professional		$84.95	$147.15	$228.20