Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $51.45 / $83.50	Facility		$20.32	$51.45	$83.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $22.23 / $23.04	Professional		$20.32	$22.23	$23.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $132.03	Facility		$27.11	$27.11	$132.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $45.77 / $45.77	Professional		$20.13	$45.77	$45.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $50.65 / $139.25	Facility		$17.82	$50.65	$139.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $31.39 / $39.24	Professional		$11.29	$31.39	$39.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $33.89 / $40.11	Professional		$32.53	$33.89	$40.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $21.96 / $32.79	Facility		$17.79	$21.96	$32.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $27.11 / $56.93	Professional		$22.23	$27.11	$56.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $32.94 / $113.31	Facility		$17.62	$32.94	$113.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $32.94 / $113.31	Professional		$17.62	$32.94	$113.31
United Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $13.56 / $32.53	Facility		$9.49	$13.56	$32.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $13.56 / $17.62	Professional		$11.39	$13.56	$17.62