Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.77 / $55.43 / $55.43	Facility		$48.77	$55.43	$55.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $55.43 / $59.80	Professional		$45.99	$55.43	$59.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $82.15 / $101.08	Professional		$82.15	$82.15	$101.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $50.99 / $69.84	Professional		$50.99	$50.99	$69.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $91.03 / $122.48	Professional		$75.19	$91.03	$122.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $62.64 / $116.72	Facility		$43.24	$62.64	$116.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $120.00 / $204.38	Professional		$77.59	$120.00	$204.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $91.92 / $149.13	Facility		$63.90	$91.92	$149.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $91.92 / $149.13	Professional		$63.90	$91.92	$149.13
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $56.30 / $112.24	Professional		$53.00	$56.30	$112.24