Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $64.89 / $105.31	Facility		$25.64	$64.89	$105.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $28.04 / $29.80	Professional		$25.64	$28.04	$29.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $166.51	Facility		$34.19	$34.19	$166.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $6.39 / $17.71	Professional		$6.39	$6.39	$17.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $63.88 / $174.48	Facility		$22.47	$63.88	$174.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $28.42 / $2,679.02	Professional		$14.24	$28.42	$2,679.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $42.74 / $50.60	Professional		$41.03	$42.74	$50.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $27.35 / $42.07	Facility		$12.51	$27.35	$42.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $35.06 / $71.80	Professional		$22.79	$35.06	$71.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $28.04 / $42.74	Facility		$21.20	$28.04	$42.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $29.75 / $42.74	Professional		$21.20	$29.75	$42.74
United Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $17.10 / $41.03	Facility		$11.97	$17.10	$41.03
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $15.39 / $26.30	Professional		$14.36	$15.39	$26.30