Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.99 / $42.99 / $66.22	Facility		$42.99	$42.99	$66.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $42.99 / $66.22	Professional		$35.77	$42.99	$66.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $69.56 / $73.88	Facility		$69.56	$69.56	$73.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $69.56 / $69.56	Professional		$69.56	$69.56	$69.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $56.91 / $56.91	Professional		$56.91	$56.91	$56.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $81.40 / $102.96	Professional		$61.22	$81.40	$102.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $46.98 / $72.18	Facility		$42.98	$46.98	$72.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $26.05 / $35.25	Professional		$26.05	$26.05	$35.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $65.26 / $9,929.00	Facility		$40.11	$65.26	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $65.26 / $9,929.00	Professional		$40.11	$65.26	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $54.75 / $96.59	Professional		$33.97	$54.75	$96.59