Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $96.57 / $191.01	Facility		$88.43	$96.57	$191.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $83.23 / $83.23	Professional		$83.23	$83.23	$83.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $112.89 / $117.60	Professional		$104.04	$112.89	$117.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.90 / $104.04 / $134.68	Facility		$91.90	$104.04	$134.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $106.00 / $106.00	Professional		$106.00	$106.00	$106.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $86.70 / $110.98	Facility		$82.37	$86.70	$110.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $86.70 / $110.98	Professional		$82.37	$86.70	$110.98
United Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $86.70 / $104.04	Professional		$85.30	$86.70	$104.04