Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $32.78 / $42.75	Facility		$12.95	$32.78	$42.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $14.16 / $14.68	Professional		$12.95	$14.16	$14.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $84.10 / $106.21	Facility		$65.59	$84.10	$106.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $8.94	Professional		$5.92	$5.92	$8.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $49.96 / $88.90	Facility		$11.23	$49.96	$88.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $19.82 / $24.78	Professional		$7.20	$19.82	$24.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $21.59 / $25.56	Professional		$20.72	$21.59	$25.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $13.47 / $19.86	Facility		$8.98	$13.47	$19.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $17.27 / $36.27	Professional		$14.16	$17.27	$36.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $20.03 / $71.70	Facility		$12.09	$20.03	$71.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $20.03 / $71.70	Professional		$12.09	$20.03	$71.70
United Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $8.64 / $12.95	Professional		$7.25	$8.64	$12.95