Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $58.83 / $116.36	Facility		$53.87	$58.83	$116.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Professional		$53.87	$53.87	$53.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $47.69 / $76.84	Facility		$22.60	$47.69	$76.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $50.70 / $50.70	Professional		$50.70	$50.70	$50.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Facility		$53.87	$53.87	$53.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Professional		$53.87	$53.87	$53.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $10.11 / $63.77	Professional		$9.72	$10.11	$63.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $63.38 / $66.52	Facility		$8.03	$63.38	$66.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $38.00	Professional		$38.00	$38.00	$38.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.18 / $52.82 / $67.61	Facility		$50.18	$52.82	$67.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $52.82 / $67.61	Professional		$50.18	$52.82	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $60.77 / $111.41 / $111.41	Facility		$60.77	$111.41	$111.41
United Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $52.82 / $63.77	Professional		$51.97	$52.82	$63.77