Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $33.11 / $33.11	Facility		$19.05	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $33.88	Professional		$18.20	$28.18	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $34.67	Facility		$32.36	$32.36	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $37.15	Professional		$26.30	$26.30	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $53.70	Facility		$21.88	$21.88	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $162.18	Professional		$18.62	$18.62	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $63.10	Professional		$28.18	$38.90	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $31.62 / $46.77	Facility		$19.50	$31.62	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $23.44	Professional		$17.38	$17.38	$23.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.02 / $10,000.00	Facility		$23.44	$38.02	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $10,000.00	Professional		$23.44	$38.02	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.11 / $51.29	Facility		$25.12	$33.11	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.11 / $54.95	Professional		$17.78	$33.11	$54.95