Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $129.13 / $208.11	Facility		$79.77	$129.13	$208.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $79.77 / $84.40	Professional		$75.97	$79.77	$84.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $160.30 / $258.30	Facility		$75.97	$160.30	$258.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $71.67 / $75.97	Facility		$71.67	$71.67	$75.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $91.16 / $124.86	Professional		$64.56	$91.16	$124.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $121.49	Facility		$75.97	$75.97	$121.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $75.97 / $97.24	Facility		$70.80	$75.97	$97.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $75.97 / $97.24	Professional		$70.80	$75.97	$97.24
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $75.97 / $95.34	Professional		$74.73	$75.97	$95.34