Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $72.44 / $134.90	Facility		$25.12	$72.44	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.12 / $32.36	Professional		$10.00	$25.12	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $138.04	Facility		$33.88	$33.88	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $20.89	Professional		$6.46	$6.46	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $66.07 / $154.88	Facility		$23.99	$66.07	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.18 / $3,090.30	Professional		$14.13	$28.18	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $50.12	Professional		$33.88	$40.74	$50.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $27.54 / $46.77	Facility		$12.59	$27.54	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $72.44	Professional		$22.91	$22.91	$72.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.90 / $46.77	Facility		$22.39	$30.90	$46.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $46.77	Professional		$22.39	$30.90	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $33.88 / $40.74	Facility		$14.45	$33.88	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.85 / $26.30	Professional		$14.45	$15.85	$26.30