Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $82.98 / $164.14	Facility		$75.98	$82.98	$164.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $82.00	Professional		$82.00	$82.00	$82.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $89.40 / $115.73	Facility		$89.40	$89.40	$115.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $74.50 / $95.36	Facility		$70.78	$74.50	$95.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $74.50 / $95.36	Professional		$70.78	$74.50	$95.36
United Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $74.50 / $93.50	Professional		$73.30	$74.50	$93.50