Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $131.18 / $131.18	Facility		$114.43	$131.18	$131.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $114.43 / $131.18	Professional		$96.82	$114.43	$131.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $119.30 / $127.97	Professional		$0.02	$119.30	$127.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $139.07 / $139.07	Facility		$139.07	$139.07	$139.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $115.25 / $153.66	Professional		$83.23	$115.25	$153.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.22 / $121.65 / $171.65	Facility		$95.22	$121.65	$171.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.92 / $211.68 / $235.32	Professional		$166.92	$211.68	$235.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $103.94 / $144.36 / $194.24	Facility		$103.94	$144.36	$194.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $144.36 / $194.24	Professional		$103.94	$144.36	$194.24
United Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $147.88 / $258.31	Professional		$93.87	$147.88	$258.31