Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $47.16 / $387.60	Facility		$16.94	$47.16	$387.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $15.98 / $91.50	Professional		$13.45	$15.98	$91.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $17.93 / $87.32	Facility		$17.93	$17.93	$87.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $10.84	Professional		$8.86	$8.86	$10.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $33.49 / $92.28	Facility		$11.78	$33.49	$92.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $12.40 / $26.55	Professional		$10.09	$12.40	$26.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $22.41 / $26.54	Professional		$21.52	$22.41	$26.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $17.93	Facility		$15.61	$15.61	$17.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $22.14 / $37.65	Professional		$14.39	$22.14	$37.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $22.01 / $74.45	Facility		$13.95	$22.01	$74.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $22.01 / $74.45	Professional		$13.95	$22.01	$74.45
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $9.30 / $16.61	Professional		$7.53	$9.30	$16.61