Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $129.04 / $255.25	Facility		$119.58	$129.04	$255.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $253.96 / $409.22	Facility		$120.36	$253.96	$409.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $112.54 / $112.54	Professional		$112.54	$112.54	$112.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Facility		$119.58	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $139.28 / $139.28	Professional		$139.28	$139.28	$139.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.68 / $140.68 / $182.12	Facility		$140.68	$140.68	$182.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.38 / $117.24 / $150.07	Facility		$111.38	$117.24	$150.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $117.24 / $150.07	Professional		$111.38	$117.24	$150.07
United Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $117.24 / $139.28	Professional		$115.35	$117.24	$139.28