Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.63 / $109.63 / $114.28	Facility		$109.63	$109.63	$114.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $109.63 / $121.22	Professional		$91.54	$109.63	$121.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $109.28 / $147.79	Professional		$79.78	$109.28	$147.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.49 / $159.49 / $159.49	Facility		$159.49	$159.49	$159.49
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 $112.70 / $152.57 / $206.32	Professional		$112.70	$152.57	$206.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.50 / $114.28 / $166.97	Facility		$89.50	$114.28	$166.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $207.13 / $282.00	Professional		$163.34	$207.13	$282.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.83 / $142.83 / $194.24	Facility		$102.83	$142.83	$194.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $175.11 / $255.94	Professional		$124.29	$175.11	$255.94
United Facility/Professional Professional Modifier Low / Median / High Price $80.55 / $128.72 / $225.23	Professional		$80.55	$128.72	$225.23