Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.78 / $50.12	Facility		$10.00	$17.78	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $30.20	Professional		$6.03	$10.00	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.12 / $41.69	Professional		$24.55	$25.12	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $50.12	Professional		$33.11	$33.88	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.02 / $15.14	Facility		$8.51	$12.02	$15.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $30.90 / $10,000.00	Facility		$8.51	$30.90	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $30.90 / $10,000.00	Professional		$8.51	$30.90	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $288.40	Facility		$81.28	$91.20	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.89 / $38.90	Professional		$14.45	$20.89	$38.90