Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $60.26 / $77.62	Facility		$22.91	$60.26	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $30.20	Professional		$20.89	$23.99	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $165.96 / $194.98	Facility		$125.89	$165.96	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $19.05	Professional		$4.37	$4.37	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $77.62 / $162.18	Facility		$32.36	$77.62	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $36.31 / $45.71	Professional		$13.18	$36.31	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $46.77	Professional		$31.62	$38.02	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $31.62	Facility		$16.60	$16.60	$31.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $36.31 / $79.43	Facility		$21.88	$36.31	$79.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $79.43	Professional		$21.88	$36.31	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $31.62 / $38.02	Facility		$13.18	$31.62	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.13 / $23.44	Professional		$13.18	$14.13	$23.44