Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.23 / $56.93 / $56.93	Facility		$47.23	$56.93	$56.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $56.93 / $56.93	Professional		$47.23	$56.93	$56.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $93.66 / $115.16	Professional		$93.66	$93.66	$115.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $75.05	Facility		$75.05	$75.05	$75.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $54.79 / $54.79	Professional		$54.79	$54.79	$54.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $93.48 / $125.77	Professional		$77.20	$93.48	$125.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $64.33 / $119.87	Facility		$44.33	$64.33	$119.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $103.72 / $209.90	Professional		$79.67	$103.72	$209.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.61 / $93.98 / $145.91	Facility		$65.61	$93.98	$145.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $93.98 / $145.91	Professional		$65.61	$93.98	$145.91
United Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $65.03 / $115.26	Professional		$53.59	$65.03	$115.26