Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $74.14 / $146.63	Facility		$67.89	$74.14	$146.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $63.90 / $63.90	Professional		$63.90	$63.90	$63.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Facility		$67.89	$67.89	$67.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $108.27 / $112.78	Professional		$79.88	$108.27	$112.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $79.87 / $103.40	Facility		$22.92	$79.87	$103.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.23 / $66.56 / $85.20	Facility		$63.23	$66.56	$85.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $66.56 / $85.20	Professional		$63.23	$66.56	$85.20
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $69.89	Professional		$66.56	$66.56	$69.89