Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.88 / $127.38 / $127.38	Facility		$120.88	$127.38	$127.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $120.88 / $131.25	Professional		$99.34	$120.88	$131.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.27 / $128.22 / $151.62	Professional		$89.27	$128.22	$151.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $170.37 / $170.37	Facility		$170.37	$170.37	$170.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $145.22 / $145.22	Professional		$145.22	$145.22	$145.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.28 / $156.08 / $211.06	Professional		$115.28	$156.08	$211.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.34 / $127.38 / $177.91	Facility		$99.34	$127.38	$177.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.91 / $220.54 / $297.83	Professional		$173.91	$220.54	$297.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.11 / $151.54 / $206.09	Facility		$109.11	$151.54	$206.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $132.33 / $178.42 / $263.45	Professional		$132.33	$178.42	$263.45
United Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $157.91 / $262.10	Professional		$93.81	$157.91	$262.10