Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $15.24 / $23.47	Facility		$15.24	$15.24	$23.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $15.24 / $23.47	Professional		$12.68	$15.24	$23.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $24.66 / $26.19	Facility		$24.66	$24.66	$26.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $24.08 / $24.08	Professional		$24.08	$24.08	$24.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $28.85 / $36.50	Professional		$21.70	$28.85	$36.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $16.66 / $25.58	Facility		$15.12	$16.66	$25.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $12.64	Professional		$9.34	$9.34	$12.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $23.14 / $9,929.00	Facility		$14.22	$23.14	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $23.14 / $9,929.00	Professional		$14.22	$23.14	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $16.48 / $34.24	Professional		$12.04	$16.48	$34.24