Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $3,633.00 / $14,187.00	Facility		$19.17	$3,633.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $49.60 / $81.15	Professional		$17.96	$49.60	$81.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $52.48 / $122.25	Professional		$20.39	$52.48	$122.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $50.00	Facility		$29.04	$29.04	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $98.50 / $140.72	Professional		$75.05	$98.50	$140.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $42.46 / $111.99	Facility		$19.17	$42.46	$111.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $115.00 / $151.00	Professional		$50.66	$115.00	$151.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $28.76 / $43.78	Facility		$22.99	$28.76	$43.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $85.31 / $160.74	Professional		$45.51	$85.31	$160.74
United Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $76.54 / $155.74	Professional		$38.40	$76.54	$155.74