Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $40.74	Facility		$19.95	$19.95	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $37.15 / $52.48	Professional		$15.14	$37.15	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $194.98	Professional		$93.33	$123.03	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $28.84 / $91.20	Facility		$26.30	$28.84	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.84 / $79.43	Professional		$13.18	$28.84	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $19.95	Professional		$13.49	$16.22	$19.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $38.02 / $67.61	Facility		$16.98	$38.02	$67.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $32.36 / $97.72	Facility		$10.47	$32.36	$97.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $40.74 / $162.18	Professional		$12.02	$40.74	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $31.62 / $72.44	Facility		$13.80	$31.62	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $75.86	Professional		$24.55	$41.69	$75.86