Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $131.83	Professional		$95.50	$109.65	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $123.03 / $131.83	Professional		$0.02	$123.03	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $169.82	Professional		$91.20	$125.89	$169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $199.53	Professional		$114.82	$151.36	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $269.15	Professional		$95.50	$158.49	$269.15