Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.59 / $51.59 / $79.45	Facility		$51.59	$51.59	$79.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $51.59 / $79.45	Professional		$42.93	$51.59	$79.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $83.49 / $88.67	Facility		$83.49	$83.49	$88.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $83.49 / $83.49	Professional		$83.49	$83.49	$83.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.47 / $97.68 / $123.57	Professional		$73.47	$97.68	$123.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.59 / $56.57 / $86.61	Facility		$51.59	$56.57	$86.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $31.21 / $42.23	Professional		$31.21	$31.21	$42.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $78.34 / $9,929.00	Facility		$48.15	$78.34	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $78.34 / $9,929.00	Professional		$48.15	$78.34	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $65.73 / $115.91	Professional		$40.78	$65.73	$115.91