Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.54 / $5,048.00 / $10,767.00	Facility		$83.54	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $78.91 / $87.55	Professional		$55.72	$78.91	$87.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $57.32 / $78.92	Professional		$44.83	$57.32	$78.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $44.86 / $93.82	Facility		$43.79	$44.86	$93.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $82.52 / $111.40	Professional		$66.02	$82.52	$111.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.82 / $82.70 / $127.23	Facility		$60.82	$82.70	$127.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $73.63 / $129.97	Professional		$39.00	$73.63	$129.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.25 / $54.43 / $114.37	Facility		$28.25	$54.43	$114.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $71.30 / $141.19	Professional		$31.21	$71.30	$141.19
United Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $93.19 / $144.86	Professional		$61.63	$93.19	$144.86