Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $30.44 / $74.58	Facility		$30.44	$30.44	$74.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $30.44 / $33.47	Professional		$30.44	$30.44	$33.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $28.65 / $28.65	Professional		$28.65	$28.65	$28.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Facility		$33.42	$33.42	$33.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $117.30	Professional		$33.42	$33.42	$117.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $63.39 / $66.03	Professional		$35.81	$63.39	$66.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $35.81 / $49.00	Facility		$30.92	$35.81	$49.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $29.00	Professional		$27.00	$27.00	$29.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.98 / $34.02 / $43.93	Facility		$31.98	$34.02	$43.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $34.02 / $43.93	Professional		$31.98	$34.02	$43.93
United Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $35.81 / $37.60	Professional		$30.74	$35.81	$37.60