Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $105.42 / $171.06	Facility		$47.21	$105.42	$171.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $46.10 / $47.21	Professional		$41.66	$46.10	$47.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $55.54 / $270.48	Facility		$55.54	$55.54	$270.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $22.22 / $33.60	Professional		$22.22	$22.22	$33.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $115.56 / $285.14	Facility		$36.50	$115.56	$285.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $37.94 / $80.02	Professional		$25.31	$37.94	$80.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $69.43 / $82.20	Professional		$66.65	$69.43	$82.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $57.79 / $94.50	Facility		$47.21	$57.79	$94.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $55.54 / $614.90	Professional		$36.10	$55.54	$614.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $72.48 / $7,420.00	Facility		$38.88	$72.48	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $72.48 / $7,420.00	Professional		$38.88	$72.48	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $27.77 / $55.54	Professional		$23.33	$27.77	$55.54