Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $173.15 / $342.49	Facility		$158.56	$173.15	$342.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.96 / $109.64 / $176.66	Facility		$51.96	$109.64	$176.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $149.22 / $149.22	Professional		$149.22	$149.22	$149.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $64.58 / $162.72	Professional		$62.00	$64.58	$162.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $155.44 / $241.49	Facility		$45.32	$155.44	$241.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.68 / $155.44 / $198.98	Facility		$147.68	$155.44	$198.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $147.68 / $155.44 / $198.98	Professional		$147.68	$155.44	$198.98
United Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $155.44 / $162.72	Professional		$152.94	$155.44	$162.72