Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.90 / $55.90 / $55.90	Facility		$55.90	$55.90	$55.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $55.90 / $78.59	Professional		$44.18	$55.90	$78.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.93 / $92.93 / $92.93	Facility		$92.93	$92.93	$92.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $73.80 / $73.80	Professional		$73.80	$73.80	$73.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $83.92	Facility		$60.80	$60.80	$83.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $60.80 / $81.41	Professional		$51.68	$60.80	$81.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.08 / $79.29 / $104.84	Professional		$66.08	$79.29	$104.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $55.90 / $135.07	Facility		$42.90	$55.90	$135.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6.33 / $52.17 / $121.14	Facility		$6.33	$52.17	$121.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $42.64 / $117.12	Professional		$6.33	$42.64	$117.12
United Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $58.15 / $89.74	Professional		$48.38	$58.15	$89.74