Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $109.25	Facility		$56.10	$56.10	$109.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $56.10 / $109.25	Professional		$41.00	$56.10	$109.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $22.38	Professional		$0.02	$0.02	$22.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $51.82 / $51.82	Facility		$51.82	$51.82	$51.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Professional		$38.22	$38.22	$38.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $55.30 / $80.39	Professional		$44.24	$55.30	$80.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $62.96 / $139.84	Facility		$40.79	$62.96	$139.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $81.59 / $109.27	Professional		$64.00	$81.59	$109.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $58.89 / $89.73	Facility		$48.27	$58.89	$89.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $58.89 / $89.73	Professional		$48.27	$58.89	$89.73
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $55.00 / $91.05	Professional		$37.50	$55.00	$91.05