Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $347.76 / $518.10	Facility		$30.00	$347.76	$518.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.00 / $480.00	Professional		$30.00	$41.00	$480.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $387.60 / $387.60 / $387.60	Professional	AA	$387.60	$387.60	$387.60
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $72.70 / $72.70 / $72.70	Professional	QX	$72.70	$72.70	$72.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $525.70	Professional		$408.00	$408.00	$525.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $350.00 / $455.00	Professional		$245.00	$350.00	$455.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $426.00 / $540.00	Professional		$252.00	$426.00	$540.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,393.10 / $2,490.00 / $3,184.32	Facility		$2,393.10	$2,490.00	$3,184.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $408.00 / $496.65	Professional		$384.00	$408.00	$496.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $64.00 / $92.88	Facility		$23.57	$64.00	$92.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $64.00 / $92.88	Professional		$23.57	$64.00	$92.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $83.35	Professional		$45.00	$60.00	$83.35