Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.86 / $59.98 / $78.22	Facility		$26.86	$59.98	$78.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $26.86 / $26.86	Professional		$23.70	$26.86	$26.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.02 / $153.88 / $194.34	Facility		$120.02	$153.88	$194.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $16.36	Professional		$4.41	$4.41	$16.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $91.10 / $162.69	Facility		$20.54	$91.10	$162.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $36.34 / $45.43	Professional		$13.17	$36.34	$45.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $39.50 / $46.77	Professional		$37.92	$39.50	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $20.86 / $31.60	Facility		$16.43	$20.86	$31.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $25.91 / $31.60	Professional		$25.91	$25.91	$31.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $36.65 / $77.17	Facility		$22.12	$36.65	$77.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $36.65 / $77.17	Professional		$22.12	$36.65	$77.17
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $15.80 / $23.70	Professional		$13.27	$15.80	$23.70