Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $79.43	Facility		$26.92	$26.92	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $79.43	Professional		$20.89	$34.67	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $295.12	Professional		$154.88	$213.80	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $20.89	Professional		$14.45	$17.38	$20.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.02 / $85.11	Facility		$19.50	$38.02	$85.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $93.33 / $10,000.00	Facility		$37.15	$93.33	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $93.33 / $10,000.00	Professional		$37.15	$93.33	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $134.90	Professional		$52.48	$74.13	$134.90