Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $20.89	Professional		$19.95	$19.95	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $20.89	Professional		$14.45	$14.45	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $72.44 / $204.17	Facility		$70.79	$72.44	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $144.54	Professional		$128.82	$128.82	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $34.67	Facility		$20.89	$20.89	$34.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $10,000.00 / $10,964.78	Facility		$1,288.25	$10,000.00	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $10,000.00 / $10,964.78	Professional		$1,288.25	$10,000.00	$10,964.78