Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $77.62 / $165.96	Facility		$22.91	$77.62	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $28.84	Professional		$19.95	$22.91	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $125.89	Facility		$31.62	$31.62	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $19.05	Professional		$6.61	$6.61	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $60.26 / $141.25	Facility		$21.88	$60.26	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $36.31 / $44.67	Professional		$13.18	$36.31	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $46.77	Professional		$31.62	$38.02	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.70 / $38.02	Facility		$20.42	$25.70	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $66.07	Professional		$25.70	$25.70	$66.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.20 / $44.67	Facility		$20.42	$30.20	$44.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $53.70	Professional		$20.42	$31.62	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $31.62 / $38.02	Facility		$13.18	$31.62	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.13 / $23.44	Professional		$13.18	$14.13	$23.44