Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $45.98	Facility		$10.58	$10.58	$45.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $20.00	Professional		$10.58	$10.58	$20.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.99 / $242.33 / $306.02	Facility		$188.99	$242.33	$306.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $32.36	Professional		$25.00	$25.00	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $100.45 / $167.13	Facility		$61.27	$100.45	$167.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $23.75 / $31.33	Professional		$19.00	$23.75	$31.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $16.47	Facility		$10.58	$10.58	$16.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $31.50 / $31.50	Professional		$31.50	$31.50	$31.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $9,929.00 / $10,945.00	Facility		$4,071.00	$9,929.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $9,929.00 / $10,945.00	Professional		$4,071.00	$9,929.00	$10,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $82.50 / $82.50	Professional		$82.50	$82.50	$82.50