Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.33 / $142.66 / $186.65	Facility		$71.33	$142.66	$186.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $71.33	Professional		$71.33	$71.33	$71.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $264.43 / $426.09	Facility		$125.32	$264.43	$426.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $44.80 / $44.80	Professional		$44.80	$44.80	$44.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.17 / $314.17 / $314.17	Professional		$314.17	$314.17	$314.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $72.45 / $125.32	Facility		$72.45	$72.45	$125.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.34 / $46.67 / $68.59	Facility		$44.34	$46.67	$68.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $46.67 / $68.59	Professional		$44.34	$46.67	$68.59
United Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $46.67 / $58.57	Professional		$45.92	$46.67	$58.57