Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $41.18 / $81.87	Facility		$35.54	$41.18	$81.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $37.33 / $37.33	Professional		$35.54	$37.33	$37.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $75.01 / $120.87	Facility		$35.54	$75.01	$120.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $33.54 / $35.54	Facility		$33.54	$33.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $42.11 / $42.66	Professional		$30.22	$42.11	$42.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $36.81 / $38.24	Facility		$14.16	$36.81	$38.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $35.54 / $45.50	Facility		$33.70	$35.54	$45.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $35.54 / $45.50	Professional		$33.70	$35.54	$45.50
United Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $35.54 / $42.11	Professional		$34.97	$35.54	$42.11