Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $229.09	Professional		$100.00	$123.03	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $190.55 / $190.55	Professional		$177.83	$190.55	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $123.03 / $199.53	Facility		$107.15	$123.03	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,288.25 / $4,073.80	Facility		$100.00	$1,288.25	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,288.25 / $4,073.80	Professional		$100.00	$1,288.25	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $218.78	Professional		$128.82	$128.82	$218.78