Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $49.50 / $69.69	Facility		$49.50	$49.50	$69.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $49.50 / $75.38	Professional		$45.00	$49.50	$75.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $104.45 / $168.30	Facility		$49.50	$104.45	$168.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $49.50 / $49.50	Professional		$49.50	$49.50	$49.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Facility		$48.76	$48.76	$48.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $52.10 / $59.40	Professional		$42.08	$52.10	$59.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $49.50 / $75.39	Facility		$49.50	$49.50	$75.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $47.57 / $64.09	Facility		$36.85	$47.57	$64.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $47.57 / $64.09	Professional		$36.85	$47.57	$64.09
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $52.10 / $52.25	Professional		$43.54	$52.10	$52.25