Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $26.30	Facility		$23.99	$23.99	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $29.51	Professional		$23.99	$23.99	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $50.12 / $85.11	Facility		$24.55	$50.12	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $41.69	Professional		$25.12	$25.12	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $29.51 / $47.86	Facility		$27.54	$29.51	$47.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $27.54 / $41.69	Facility		$26.92	$27.54	$41.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $27.54 / $41.69	Professional		$26.92	$27.54	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $30.20 / $50.12	Facility		$27.54	$30.20	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $35.48	Professional		$27.54	$29.51	$35.48