Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $76.94	Facility		$22.28	$22.28	$76.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $22.28 / $37.50	Professional		$21.00	$22.28	$37.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $39.33	Facility		$37.03	$37.03	$39.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $31.46 / $31.46	Professional		$31.46	$31.46	$31.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $43.93 / $65.79	Professional		$33.04	$43.93	$65.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $34.29 / $40.88	Facility		$22.28	$34.29	$40.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $23.28	Professional		$17.20	$17.20	$23.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $37.46 / $9,929.00	Facility		$25.17	$37.46	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $37.46 / $9,929.00	Professional		$25.17	$37.46	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $45.74 / $45.74 / $54.89	Facility		$45.74	$45.74	$54.89
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $31.56 / $57.83	Professional		$19.32	$31.56	$57.83