Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.72 / $186.86 / $4,725.00	Facility		$131.72	$186.86	$4,725.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $131.72 / $187.62	Professional		$106.45	$131.72	$187.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $15.00 / $33.10	Professional		$11.73	$15.00	$33.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $143.00	Professional		$128.00	$128.00	$143.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.72 / $187.62 / $285.75	Facility		$131.72	$187.62	$285.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $131.00 / $180.00	Professional		$131.00	$131.00	$180.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $793.00 / $793.00 / $793.00	Facility		$793.00	$793.00	$793.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $793.00 / $793.00 / $793.00	Professional		$793.00	$793.00	$793.00