Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $123.03 / $158.49	Facility		$47.86	$123.03	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $64.57	Professional		$42.66	$47.86	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $398.11	Facility		$257.04	$338.84	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $38.90	Professional		$12.02	$12.02	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $158.49 / $331.13	Facility		$66.07	$158.49	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $74.13 / $93.33	Professional		$26.92	$74.13	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $95.50	Professional		$64.57	$77.62	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $74.13	Facility		$33.11	$50.12	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $134.90	Professional		$52.48	$52.48	$134.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $77.62 / $10,000.00	Facility		$44.67	$77.62	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $10,000.00	Professional		$44.67	$79.43	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $64.57 / $77.62	Facility		$26.92	$64.57	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $47.86	Professional		$26.92	$28.84	$47.86