Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $143.84 / $8,920.00	Facility		$25.85	$143.84	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $75.06 / $143.84	Professional		$15.19	$75.06	$143.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $55.50 / $167.68	Professional		$14.00	$55.50	$167.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.43 / $19.43 / $19.43	Facility		$19.43	$19.43	$19.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $88.09 / $92.55	Professional		$88.09	$88.09	$92.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $118.38 / $139.15	Professional		$103.42	$118.38	$139.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $76.62 / $146.72	Facility		$15.65	$76.62	$146.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $136.00 / $228.00	Professional		$33.94	$136.00	$228.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $28.82 / $1,098.00	Facility		$16.87	$28.82	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $131.54 / $1,098.00	Professional		$84.45	$131.54	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $111.96 / $189.72	Professional		$71.42	$111.96	$189.72