Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.86 / $76.97 / $76.97	Facility		$63.86	$76.97	$76.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $76.97 / $76.97	Professional		$63.86	$76.97	$76.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $157.91 / $194.17	Professional		$157.91	$157.91	$194.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $41.25 / $56.50	Professional		$41.25	$41.25	$56.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $126.39 / $170.05	Professional		$104.39	$126.39	$170.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $86.98 / $165.93	Facility		$59.84	$86.98	$165.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $205.00 / $283.80	Professional		$107.72	$205.00	$283.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.71 / $127.06 / $197.27	Facility		$88.71	$127.06	$197.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $127.06 / $197.27	Professional		$88.71	$127.06	$197.27
United Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $89.45 / $154.62	Professional		$72.70	$89.45	$154.62