Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $204.13 / $403.77	Facility		$186.93	$204.13	$403.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.33 / $13.36 / $21.52	Facility		$6.33	$13.36	$21.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $175.94 / $175.94	Professional		$175.94	$175.94	$175.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.48 / $16.87	Professional		$16.19	$16.48	$16.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $219.92 / $284.69	Facility		$15.38	$219.92	$284.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $183.26 / $234.57	Facility		$174.10	$183.26	$234.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $183.26 / $234.57	Professional		$174.10	$183.26	$234.57
United Facility/Professional Professional Modifier Low / Median / High Price $177.76 / $183.26 / $219.92	Professional		$177.76	$183.26	$219.92