Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $30.37 / $49.28	Facility		$12.00	$30.37	$49.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $13.12 / $13.60	Professional		$12.00	$13.12	$13.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.00 / $77.92	Facility		$16.00	$16.00	$77.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $7.28	Professional		$5.92	$5.92	$7.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $29.89 / $82.20	Facility		$10.52	$29.89	$82.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $18.17 / $22.72	Professional		$6.67	$18.17	$22.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $20.00 / $23.68	Professional		$19.20	$20.00	$23.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $12.96 / $19.36	Facility		$10.50	$12.96	$19.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $16.00 / $33.60	Professional		$13.12	$16.00	$33.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $20.88 / $66.88	Facility		$10.40	$20.88	$66.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $20.00 / $66.88	Professional		$10.40	$20.00	$66.88
United Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $16.00 / $24.00	Facility		$14.40	$16.00	$24.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $8.00 / $16.00	Professional		$6.72	$8.00	$16.00