Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $100.00 / $131.83	Facility		$38.90	$100.00	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $52.48	Professional		$34.67	$39.81	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $275.42 / $331.13	Facility		$208.93	$275.42	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $32.36	Professional		$5.01	$5.01	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $131.83 / $269.15	Facility		$53.70	$131.83	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $60.26 / $75.86	Professional		$21.88	$60.26	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $77.62	Professional		$52.48	$63.10	$77.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $40.74 / $60.26	Facility		$27.54	$40.74	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $109.65	Professional		$43.65	$43.65	$109.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $60.26 / $134.90	Facility		$37.15	$60.26	$134.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $134.90	Professional		$37.15	$60.26	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $52.48 / $63.10	Facility		$22.39	$52.48	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.99 / $39.81	Professional		$22.39	$23.99	$39.81