Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $136.00 / $251.00	Facility		$30.00	$136.00	$251.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.00 / $150.00	Professional		$30.00	$41.00	$150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $64.00 / $80.00	Professional		$40.40	$64.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $71.00 / $91.00	Professional		$52.00	$71.00	$91.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $71.00 / $84.65	Professional		$1.00	$71.00	$84.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,250.00 / $2,490.00 / $3,184.32	Facility		$2,250.00	$2,490.00	$3,184.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $40.00 / $60.90	Professional		$35.54	$40.00	$60.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.40 / $72.00 / $97.07	Facility		$48.40	$72.00	$97.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $72.00 / $97.07	Professional		$48.40	$72.00	$97.07
United Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $96.00 / $96.00	Professional		$96.00	$96.00	$96.00