Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $57.54 / $107.15	Facility		$19.95	$57.54	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $25.12	Professional		$18.20	$19.95	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $107.15	Facility		$26.92	$26.92	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $45.71 / $57.54	Professional		$17.78	$45.71	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $52.48 / $123.03	Facility		$19.05	$52.48	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $31.62 / $38.90	Professional		$11.22	$31.62	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $39.81	Professional		$26.92	$32.36	$39.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.39 / $33.11	Facility		$17.78	$22.39	$33.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $57.54	Professional		$22.39	$22.39	$57.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $33.88 / $112.20	Facility		$17.78	$33.88	$112.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.88 / $112.20	Professional		$17.78	$33.88	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $26.92 / $32.36	Facility		$11.48	$26.92	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.30 / $20.42	Professional		$11.48	$12.30	$20.42