Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.30 / $102.30 / $181.45	Facility		$102.30	$102.30	$181.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $102.30 / $181.45	Professional		$73.80	$102.30	$181.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $40.25	Professional		$0.02	$0.02	$40.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $99.47 / $144.59	Professional		$79.56	$99.47	$144.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $111.69 / $235.00	Facility		$74.40	$111.69	$235.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $146.77 / $196.54	Professional		$115.00	$146.77	$196.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $86.80 / $105.90 / $161.36	Facility		$86.80	$105.90	$161.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $105.90 / $161.36	Professional		$86.80	$105.90	$161.36
United Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $99.00 / $167.17	Professional		$70.50	$99.00	$167.17