Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $30.00 / $43.45	Professional		$21.22	$30.00	$43.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.87 / $49.87 / $49.87	Facility		$49.87	$49.87	$49.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Professional		$40.54	$40.54	$40.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $33.36 / $41.85	Facility		$33.36	$33.36	$41.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $33.36 / $43.79	Professional		$28.36	$33.36	$43.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $43.21 / $60.50	Professional		$38.13	$43.21	$60.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $30.00 / $64.88	Facility		$20.61	$30.00	$64.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $56.57 / $56.57	Professional		$56.57	$56.57	$56.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $28.00 / $60.67	Facility		$3.20	$28.00	$60.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $22.09 / $56.51	Professional		$3.20	$22.09	$56.51
United Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $29.63 / $45.45	Professional		$25.06	$29.63	$45.45