Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $24.46 / $172.43	Facility		$24.46	$24.46	$172.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $24.46 / $24.46	Professional		$24.46	$24.46	$24.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $20.34 / $24.76	Professional		$16.91	$20.34	$24.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $138.00	Facility		$120.00	$120.00	$138.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $58.98 / $138.00	Professional		$58.98	$58.98	$138.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $143.00	Professional		$128.00	$128.00	$143.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $27.64	Facility		$8.00	$8.00	$27.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $25.13 / $37.50	Facility		$25.13	$25.13	$37.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $25.13 / $25.13	Professional		$25.13	$25.13	$25.13