Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $34.92 / $49.60	Facility		$13.80	$34.92	$49.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.09 / $15.64	Professional		$13.80	$15.09	$15.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $89.61 / $113.16	Facility		$69.88	$89.61	$113.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $52.91 / $93.92	Facility		$11.96	$52.91	$93.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $21.06 / $26.33	Professional		$7.67	$21.06	$26.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $23.00 / $27.23	Professional		$22.08	$23.00	$27.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $14.35 / $21.16	Facility		$9.57	$14.35	$21.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $18.39 / $38.64	Professional		$15.09	$18.39	$38.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $21.34 / $76.40	Facility		$12.88	$21.34	$76.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.34 / $76.40	Professional		$12.88	$21.34	$76.40
United Facility/Professional Facility Modifier Low / Median / High Price $7.73 / $7.73 / $7.73	Facility		$7.73	$7.73	$7.73
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $9.19 / $11.96	Professional		$7.73	$9.19	$11.96