Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $72.79	Facility		$29.71	$29.71	$72.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $41.51	Professional		$29.71	$29.71	$41.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $62.69 / $101.01	Facility		$29.71	$62.69	$101.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $29.71	Professional		$29.71	$29.71	$29.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Facility		$29.33	$29.33	$29.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $46.00	Professional		$29.33	$29.33	$46.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $31.28 / $35.65	Professional		$25.25	$31.28	$35.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $29.71 / $45.25	Facility		$23.89	$29.71	$45.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $37.00 / $37.00	Professional		$28.00	$37.00	$37.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $29.22 / $39.94	Facility		$28.07	$29.22	$39.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $29.22 / $39.94	Professional		$28.07	$29.22	$39.94
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $31.28 / $32.47	Professional		$25.44	$31.28	$32.47