Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $112.72 / $222.96	Facility		$103.22	$112.72	$222.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $103.22 / $103.22	Professional		$103.22	$103.22	$103.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $97.14 / $97.14	Professional		$97.14	$97.14	$97.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $20.26 / $20.73	Professional		$19.89	$20.26	$20.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $121.43 / $157.19	Facility		$18.23	$121.43	$157.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.13 / $101.19 / $129.52	Facility		$96.13	$101.19	$129.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $101.19 / $129.52	Professional		$96.13	$101.19	$129.52
United Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $101.19 / $121.43	Professional		$98.15	$101.19	$121.43