Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $41.88 / $41.88	Facility		$20.32	$41.88	$41.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $41.88 / $50.69	Professional		$17.35	$41.88	$50.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $113.81 / $159.61	Professional		$91.00	$113.81	$159.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $28.63 / $91.03	Facility		$20.88	$28.63	$91.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $32.54 / $81.59	Professional		$13.12	$32.54	$81.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $17.29 / $21.19	Professional		$14.41	$17.29	$21.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $36.24 / $64.08	Facility		$21.55	$36.24	$64.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $41.78 / $105.00	Professional		$16.70	$41.78	$105.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $36.89 / $89.77	Facility		$14.01	$36.89	$89.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $50.09 / $113.96	Professional		$17.89	$50.09	$113.96
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $46.36 / $75.54	Professional		$29.29	$46.36	$75.54