Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $107.15 / $281.84	Facility		$47.86	$107.15	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $57.54	Professional		$38.02	$41.69	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $204.17	Facility		$51.29	$51.29	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $39.81	Professional		$25.12	$25.12	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $100.00 / $234.42	Facility		$35.48	$100.00	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $58.88	Professional		$28.84	$34.67	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $75.86	Professional		$51.29	$61.66	$75.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $75.86	Facility		$39.81	$39.81	$75.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $107.15	Professional		$12.02	$12.02	$107.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $60.26 / $128.82	Facility		$39.81	$60.26	$128.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $128.82	Professional		$39.81	$60.26	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $51.29 / $61.66	Facility		$21.38	$51.29	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $54.95	Professional		$21.38	$30.20	$54.95