Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $102.33 / $204.17	Facility		$39.81	$102.33	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $125.89	Professional		$36.31	$42.66	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $218.78	Facility		$53.70	$53.70	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $36.31	Professional		$21.88	$21.88	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $117.49 / $245.47	Facility		$38.02	$117.49	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $54.95 / $102.33	Professional		$19.95	$54.95	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $81.28	Professional		$53.70	$64.57	$81.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $56.23 / $87.10	Facility		$45.71	$56.23	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $114.82	Professional		$35.48	$35.48	$114.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $70.79 / $10,000.00	Facility		$38.02	$70.79	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $70.79 / $10,000.00	Professional		$38.02	$70.79	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $53.70 / $64.57	Facility		$22.91	$53.70	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $24.55 / $40.74	Professional		$22.91	$24.55	$40.74