Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.15 / $183.71 / $183.71	Facility		$151.15	$183.71	$183.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $154.01 / $183.71	Professional		$135.55	$154.01	$183.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $167.03 / $179.40	Professional		$0.02	$167.03	$179.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.89 / $182.89 / $182.89	Facility		$182.89	$182.89	$182.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $151.09 / $201.46	Professional		$109.12	$151.09	$201.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.68 / $166.05 / $237.52	Facility		$131.68	$166.05	$237.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $279.72 / $315.00	Professional		$220.00	$279.72	$315.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $136.49 / $196.65 / $254.79	Facility		$136.49	$196.65	$254.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.49 / $196.65 / $254.79	Professional		$136.49	$196.65	$254.79
United Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $211.02 / $368.91	Professional		$132.22	$211.02	$368.91