Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $12.88	Facility		$10.96	$10.96	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $19.95	Professional		$10.00	$12.88	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $114.82	Professional		$54.95	$54.95	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $28.18 / $28.18	Facility		$18.20	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $28.18	Professional		$20.42	$20.42	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $33.11	Professional		$20.42	$25.70	$33.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $18.62 / $38.02	Facility		$10.72	$18.62	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.50	Professional		$15.85	$15.85	$19.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $24.55 / $97.72	Facility		$16.22	$24.55	$97.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.55 / $97.72	Professional		$16.22	$24.55	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.13 / $16.60	Facility		$10.00	$14.13	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.38 / $29.51	Professional		$13.18	$17.38	$29.51