Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $187.00 / $249.60	Professional		$187.00	$187.00	$249.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.61 / $134.61 / $134.61	Facility		$134.61	$134.61	$134.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $98.27	Professional		$98.27	$98.27	$98.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $247.00 / $273.00	Professional		$247.00	$247.00	$273.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $79.50 / $126.75	Facility		$75.00	$79.50	$126.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.50 / $962.00 / $9,929.00	Facility		$107.50	$962.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $962.00 / $9,929.00	Professional		$107.50	$962.00	$9,929.00