Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $131.43 / $259.98	Facility		$120.36	$131.43	$259.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.91 / $204.48 / $329.49	Facility		$96.91	$204.48	$329.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $113.28 / $113.28	Professional		$113.28	$113.28	$113.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $141.60 / $183.31	Facility		$141.60	$141.60	$183.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.10 / $118.00 / $151.04	Facility		$112.10	$118.00	$151.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $118.00 / $151.04	Professional		$112.10	$118.00	$151.04
United Facility/Professional Professional Modifier Low / Median / High Price $114.46 / $118.00 / $141.60	Professional		$114.46	$118.00	$141.60