Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $178.21 / $352.51	Facility		$163.19	$178.21	$352.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.35 / $353.11 / $568.99	Facility		$167.35	$353.11	$568.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $153.60	Professional		$153.60	$153.60	$153.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $192.00	Professional		$192.00	$192.00	$192.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $192.00 / $248.55	Facility		$192.00	$192.00	$248.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $160.00 / $204.80	Facility		$152.00	$160.00	$204.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $160.00 / $204.80	Professional		$152.00	$160.00	$204.80
United Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $160.00 / $200.80	Professional		$155.19	$160.00	$200.80