Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $15.86 / $46.19	Facility		$14.00	$15.86	$46.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $15.30 / $15.86	Professional		$14.00	$15.30	$15.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.87 / $90.87 / $114.76	Facility		$70.87	$90.87	$114.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $11.28	Professional		$7.65	$7.65	$11.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $53.87 / $95.61	Facility		$12.13	$53.87	$95.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $21.48 / $26.85	Professional		$7.78	$21.48	$26.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.33 / $27.62	Professional		$22.39	$23.33	$27.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $12.32 / $18.66	Facility		$9.69	$12.32	$18.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $18.66	Professional		$15.30	$15.30	$18.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $21.65 / $45.57	Facility		$13.06	$21.65	$45.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $21.65 / $45.57	Professional		$13.06	$21.65	$45.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $9.33 / $14.00	Professional		$7.84	$9.33	$14.00