Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $110.16 / $341.15	Facility		$55.08	$110.16	$341.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $51.84	Professional		$51.84	$51.84	$51.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Facility		$55.08	$55.08	$55.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $13.19 / $13.50	Professional		$12.96	$13.19	$13.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $52.96 / $64.80	Facility		$9.75	$52.96	$64.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $54.00 / $69.12	Facility		$51.30	$54.00	$69.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $54.00 / $69.12	Professional		$51.30	$54.00	$69.12
United Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $54.00 / $64.80	Professional		$53.13	$54.00	$64.80