Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $13.26 / $13.26	Professional		$12.48	$13.26	$13.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $17.32	Professional		$12.48	$12.48	$17.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $14.90 / $19.55	Professional		$12.41	$14.90	$19.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $15.60 / $21.22	Facility		$13.26	$15.60	$21.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $696.00 / $949.63	Professional		$205.00	$696.00	$949.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $526.38 / $605.34 / $1,128.56	Facility		$526.38	$605.34	$1,128.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $526.38 / $605.34 / $1,128.56	Professional		$526.38	$605.34	$1,128.56
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.87	Professional		$13.00	$13.00	$13.87