Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $139.22 / $275.39	Facility		$127.50	$139.22	$275.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $277.20 / $446.69	Facility		$131.38	$277.20	$446.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $194.18	Facility		$150.00	$150.00	$194.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $118.75 / $125.00 / $160.00	Facility		$118.75	$125.00	$160.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $125.00 / $160.00	Professional		$118.75	$125.00	$160.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.25 / $125.00 / $150.00	Professional		$121.25	$125.00	$150.00