Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.71 / $31.71 / $119.23	Facility		$31.71	$31.71	$119.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $33.72 / $39.04	Professional		$29.18	$33.72	$39.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $32.02 / $53.41	Professional		$24.71	$32.02	$53.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $414.24 / $730.53 / $1,319.33	Facility		$414.24	$730.53	$1,319.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $146.58 / $146.58	Professional		$63.23	$146.58	$146.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $35.61 / $43.64	Professional		$29.67	$35.61	$43.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.04 / $38.04 / $59.96	Facility		$27.04	$38.04	$59.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $72.98 / $82.00	Professional		$47.53	$72.98	$82.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $37.65 / $72.20	Facility		$20.19	$37.65	$72.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $37.65 / $72.20	Professional		$20.19	$37.65	$72.20
United Facility/Professional Facility Modifier Low / Median / High Price $184.45 / $528.75 / $528.75	Facility		$184.45	$528.75	$528.75
United Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $34.75 / $58.39	Professional		$22.40	$34.75	$58.39