Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $22.42 / $34.52	Facility		$22.42	$22.42	$34.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $22.42 / $34.52	Professional		$18.66	$22.42	$34.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.27 / $36.27 / $38.52	Facility		$36.27	$36.27	$38.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $35.42 / $35.42	Professional		$35.42	$35.42	$35.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $25.41 / $25.41	Facility		$25.41	$25.41	$25.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Professional		$21.60	$21.60	$21.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $42.44 / $53.68	Professional		$31.92	$42.44	$53.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $23.91 / $37.63	Facility		$19.41	$23.91	$37.63
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 $20.92 / $34.04 / $9,929.00	Facility		$20.92	$34.04	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $34.04 / $9,929.00	Professional		$20.92	$34.04	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $24.13 / $51.94	Professional		$17.73	$24.13	$51.94