Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.51 / $179.16 / $447.49	Facility		$138.51	$179.16	$447.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $153.86 / $260.39	Professional		$109.12	$153.86	$260.39
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $153.74 / $261.39 / $424.00	Professional	25	$153.74	$261.39	$424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $170.49 / $255.86	Professional		$123.76	$170.49	$255.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $190.22 / $270.23	Professional		$153.13	$190.22	$270.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.42 / $163.19 / $261.24	Facility		$102.42	$163.19	$261.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.87 / $239.16 / $307.22	Professional		$145.87	$239.16	$307.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.04 / $145.96 / $252.24	Facility		$114.04	$145.96	$252.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.82 / $188.74 / $316.97	Professional		$115.82	$188.74	$316.97
United Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $157.36 / $286.44	Professional		$99.23	$157.36	$286.44