Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $146.47	Facility		$23.15	$23.15	$146.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $23.15 / $23.15	Professional		$23.15	$23.15	$23.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $109.00 / $114.00	Facility		$99.00	$109.00	$114.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $184.00	Professional		$108.00	$108.00	$184.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $34.72	Facility		$23.15	$23.15	$34.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $30.21 / $127.81	Facility		$19.54	$30.21	$127.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $30.21 / $127.81	Professional		$19.54	$30.21	$127.81