Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $66.07 / $104.71	Facility		$12.88	$66.07	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $100.00	Professional		$52.48	$66.07	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $107.15	Professional		$64.57	$64.57	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $102.33	Facility		$74.13	$74.13	$102.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $70.79 / $107.15	Facility		$69.18	$70.79	$107.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $107.15	Professional		$69.18	$70.79	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $83.18	Professional		$64.57	$79.43	$83.18