Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $21.68 / $437.01	Facility		$10.19	$21.68	$437.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.58 / $58.19 / $93.77	Facility		$27.58	$58.19	$93.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $9.60	Professional		$9.60	$9.60	$9.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Facility		$10.19	$10.19	$10.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $29.15 / $30.36	Professional		$22.51	$29.15	$30.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $24.00	Facility		$12.00	$12.00	$24.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $31.00	Professional		$31.00	$31.00	$31.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $10.00 / $12.80	Facility		$9.50	$10.00	$12.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $10.00 / $12.80	Professional		$9.50	$10.00	$12.80
United Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $10.00 / $12.55	Professional		$9.84	$10.00	$12.55