Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $5,048.00 / $10,767.00	Facility		$85.76	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $45.67 / $85.76	Professional		$34.45	$45.67	$85.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $17.26 / $24.56	Professional		$13.53	$17.26	$24.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Facility		$52.57	$52.57	$52.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.64 / $294.64 / $294.64	Professional		$294.64	$294.64	$294.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $30.41 / $36.20	Professional		$27.23	$30.41	$36.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $68.51 / $94.34	Facility		$31.76	$68.51	$94.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $89.00 / $114.00	Professional		$70.76	$89.00	$114.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.94 / $101.98 / $1,263.41	Facility		$63.94	$101.98	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $101.98 / $1,263.41	Professional		$63.94	$101.98	$1,263.41
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $89.57 / $143.32	Professional		$10.40	$89.57	$143.32