Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.07 / $4,032.00 / $8,920.00	Facility		$86.07	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $85.13 / $96.21	Professional		$72.84	$85.13	$96.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $98.61 / $256.62	Professional		$0.02	$98.61	$256.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $84.96 / $84.96	Facility		$84.96	$84.96	$84.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.93 / $353.93 / $353.93	Professional		$353.93	$353.93	$353.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $91.08 / $105.30	Professional		$71.15	$91.08	$105.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $91.23 / $140.78	Facility		$71.68	$91.23	$140.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $131.16 / $175.73	Professional		$103.43	$131.16	$175.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $104.26 / $819.00	Facility		$74.95	$104.26	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $104.26 / $819.00	Professional		$74.95	$104.26	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $103.59 / $154.38	Professional		$64.40	$103.59	$154.38