Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.81 / $147.91	Facility		$30.20	$39.81	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $38.02	Professional		$30.20	$30.20	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $61.66 / $104.71	Facility		$30.20	$61.66	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $51.29	Professional		$30.90	$30.90	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $36.31 / $50.12	Facility		$33.88	$36.31	$50.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.88 / $51.29	Facility		$33.11	$33.88	$51.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $51.29	Professional		$33.11	$33.88	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $43.65	Professional		$33.88	$36.31	$43.65