Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $19.95	Facility		$10.00	$10.00	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.22 / $28.84	Professional		$7.94	$16.22	$28.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $0.30 / $22.39 / $24.55	Professional	25	$0.30	$22.39	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.78 / $30.20	Professional		$9.33	$17.78	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.38 / $29.51	Professional		$10.96	$21.38	$29.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $16.60 / $28.84	Facility		$8.51	$16.60	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $16.60	Professional		$6.46	$7.76	$16.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.47 / $16.98	Facility		$8.71	$10.47	$16.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $33.11	Professional		$16.60	$20.42	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $34.67 / $229.09	Facility		$24.55	$34.67	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.85 / $28.18	Professional		$8.32	$15.85	$28.18