Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.88 / $33.88	Facility		$21.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $33.88	Professional		$15.85	$28.84	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $38.02	Facility		$36.31	$36.31	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $50.12	Professional		$36.31	$36.31	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $57.54	Facility		$19.05	$19.05	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $173.78	Professional		$16.22	$16.22	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $53.70	Professional		$32.36	$42.66	$53.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $23.99 / $38.02	Facility		$22.39	$23.99	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $18.20	Professional		$13.49	$13.49	$18.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $36.31 / $10,000.00	Facility		$20.89	$36.31	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $35.48 / $10,000.00	Professional		$20.89	$35.48	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $36.31 / $36.31	Facility		$28.84	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.30 / $50.12	Professional		$17.78	$26.30	$50.12