Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $33.69	Facility		$21.88	$21.88	$33.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $33.69	Professional		$18.20	$21.88	$33.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $37.59	Facility		$35.40	$35.40	$37.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Professional		$29.14	$29.14	$29.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $41.42 / $52.39	Professional		$31.15	$41.42	$52.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $23.74 / $36.72	Facility		$21.88	$23.74	$36.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $13.27 / $17.96	Professional		$13.27	$13.27	$17.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.20 / $9,929.00	Facility		$20.42	$33.20	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.20 / $9,929.00	Professional		$20.42	$33.20	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $23.63 / $49.15	Professional		$17.28	$23.63	$49.15