Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $112.20 / $112.20	Facility		$102.33	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $112.20	Professional		$77.62	$112.20	$112.20
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 $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $363.08 / $363.08	Professional		$154.88	$363.08	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $154.88	Facility		$81.28	$112.20	$154.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80