Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.38 / $83.38 / $96.10	Facility		$83.38	$83.38	$96.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $96.10 / $96.10	Professional		$69.13	$96.10	$96.10
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 Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $208.00 / $208.00	Professional		$175.00	$208.00	$208.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.38 / $96.10 / $148.10	Facility		$83.38	$96.10	$148.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $131.00 / $180.00	Professional		$131.00	$131.00	$180.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.43 / $109.06 / $171.08	Facility		$87.43	$109.06	$171.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $109.06 / $171.08	Professional		$87.43	$109.06	$171.08