Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $17.87 / $35.52	Facility		$16.07	$17.87	$35.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.88 / $16.88	Professional		$16.07	$16.88	$16.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $33.93 / $54.67	Facility		$16.07	$33.93	$54.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $16.07	Facility		$15.17	$15.17	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $19.30 / $85.27	Professional		$13.67	$19.30	$85.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $25.71	Facility		$16.07	$16.07	$25.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $19.46 / $74.62	Facility		$15.28	$19.46	$74.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $19.46 / $74.62	Professional		$15.28	$19.46	$74.62
United Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $16.07 / $20.18	Professional		$15.82	$16.07	$20.18