Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $34.22	Facility		$22.22	$22.22	$34.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $22.22 / $34.22	Professional		$18.48	$22.22	$34.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $38.19	Facility		$35.96	$35.96	$38.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $35.96 / $35.96	Professional		$35.96	$35.96	$35.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $42.07 / $53.22	Professional		$31.64	$42.07	$53.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $24.26 / $38.20	Facility		$22.22	$24.26	$38.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $13.52 / $18.29	Professional		$13.52	$13.52	$18.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $33.72 / $9,929.00	Facility		$20.74	$33.72	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $33.72 / $9,929.00	Professional		$20.74	$33.72	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $25.93 / $49.93	Professional		$17.55	$25.93	$49.93