Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $86.50 / $233.50	Facility		$33.14	$86.50	$233.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $31.23 / $33.52	Professional		$26.32	$31.23	$33.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $172.47	Facility		$35.09	$35.09	$172.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $26.41	Professional		$17.32	$17.32	$26.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $65.56 / $158.84	Facility		$22.81	$65.56	$158.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Professional		$18.45	$18.45	$18.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $51.93	Professional		$35.09	$42.11	$51.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $37.90 / $66.28	Facility		$31.19	$37.90	$66.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $61.06 / $84.22	Professional		$52.34	$61.06	$84.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $42.50 / $9,929.00	Facility		$30.25	$42.50	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $42.50 / $9,929.00	Professional		$30.37	$42.50	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $72.20	Facility		$35.09	$35.09	$72.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.22 / $55.36	Professional		$14.74	$20.22	$55.36