Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.65	Professional		$1.00	$1.00	$1.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Professional		$1.33	$1.33	$1.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $58.00 / $58.00	Professional		$53.00	$58.00	$58.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.24 / $6.76	Facility		$4.00	$4.24	$6.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,291.00 / $10,945.00	Facility		$100.00	$1,291.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,291.00 / $10,945.00	Professional		$100.00	$1,291.00	$10,945.00