Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $123.03 / $158.49	Facility		$47.86	$123.03	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $60.26	Professional		$42.66	$47.86	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $398.11	Facility		$257.04	$338.84	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $38.90	Professional		$6.92	$6.92	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $125.89 / $331.13	Facility		$42.66	$125.89	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $74.13 / $91.20	Professional		$26.92	$74.13	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $95.50	Professional		$64.57	$77.62	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $51.29 / $74.13	Facility		$33.11	$51.29	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $134.90	Professional		$52.48	$52.48	$134.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $70.79 / $162.18	Facility		$44.67	$70.79	$162.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $162.18	Professional		$44.67	$72.44	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $64.57 / $77.62	Facility		$26.92	$64.57	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $47.86	Professional		$26.92	$28.84	$47.86