Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $71.12 / $71.12	Facility		$20.00	$71.12	$71.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $71.12	Professional		$20.00	$20.00	$71.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $55.00 / $80.00	Professional		$43.01	$55.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $180.06	Professional		$73.00	$73.00	$180.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $133.00 / $133.00	Professional		$120.00	$133.00	$133.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $50.00 / $108.32	Facility		$20.00	$50.00	$108.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $221.97 / $249.00 / $264.00	Professional		$221.97	$249.00	$264.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,291.00 / $4,071.00	Facility		$100.00	$1,291.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,291.00 / $4,071.00	Professional		$100.00	$1,291.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $230.00	Professional		$230.00	$230.00	$230.00