Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.71 / $195.79 / $195.79	Facility		$168.71	$195.79	$195.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $177.28 / $200.14	Professional		$159.40	$177.28	$200.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $137.44 / $161.71	Professional		$32.28	$137.44	$161.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $216.84 / $286.70	Professional		$156.60	$216.84	$286.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.40 / $195.79 / $264.32	Facility		$159.40	$195.79	$264.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $4,071.00 / $4,071.00	Facility		$4,071.00	$4,071.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $4,071.00 / $4,071.00	Professional		$4,071.00	$4,071.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71