Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $239.88 / $446.68	Facility		$85.11	$239.88	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $107.15	Professional		$75.86	$85.11	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $457.09	Facility		$114.82	$114.82	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $77.62	Professional		$45.71	$45.71	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $223.87 / $512.86	Facility		$79.43	$223.87	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $165.96	Professional		$47.86	$67.61	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $169.82	Professional		$114.82	$138.04	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $93.33 / $154.88	Facility		$69.18	$93.33	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $239.88	Professional		$74.13	$74.13	$239.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $112.20 / $154.88	Facility		$79.43	$112.20	$154.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $154.88	Professional		$79.43	$112.20	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $114.82 / $138.04	Facility		$47.86	$114.82	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $85.11	Professional		$47.86	$51.29	$85.11