Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $69.62 / $137.69	Facility		$63.75	$69.62	$137.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $142.72 / $229.98	Facility		$67.64	$142.72	$229.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.28 / $2,220.88 / $2,313.42	Professional		$215.28	$2,220.88	$2,313.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.49 / $63.20 / $97.09	Facility		$54.49	$63.20	$97.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.38 / $62.50 / $80.00	Facility		$59.38	$62.50	$80.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $62.50 / $80.00	Professional		$59.38	$62.50	$80.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $62.50 / $78.44	Professional		$60.63	$62.50	$78.44