Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $51.18 / $101.24	Facility		$46.87	$51.18	$101.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Professional		$46.87	$46.87	$46.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.38 / $91.53 / $147.49	Facility		$43.38	$91.53	$147.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Facility		$46.87	$46.87	$46.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Professional		$46.87	$46.87	$46.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $14.13 / $14.46	Professional		$13.88	$14.13	$14.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $48.25 / $53.86	Facility		$13.49	$48.25	$53.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $45.95 / $58.82	Facility		$43.65	$45.95	$58.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.95 / $58.82	Professional		$43.65	$45.95	$58.82
United Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $45.95 / $57.67	Professional		$45.21	$45.95	$57.67