Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $59.93 / $101.21	Facility		$21.20	$59.93	$101.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $23.18	Professional		$21.20	$21.20	$23.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $28.27 / $137.66	Facility		$28.27	$28.27	$137.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $13.96 / $17.10	Professional		$13.96	$13.96	$17.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $52.84 / $144.26	Facility		$18.57	$52.84	$144.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $29.25	Professional		$14.86	$14.86	$29.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $35.34 / $41.84	Professional		$33.92	$35.34	$41.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $22.90 / $34.21	Facility		$14.98	$22.90	$34.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $34.90 / $59.37	Professional		$22.69	$34.90	$59.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $36.89 / $9,929.00	Facility		$20.64	$36.89	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $36.89 / $9,929.00	Professional		$20.64	$36.89	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $14.66 / $26.18	Professional		$11.87	$14.66	$26.18