Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $58.91 / $116.53	Facility		$53.95	$58.91	$116.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $40.03 / $40.97	Professional		$39.33	$40.03	$40.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $28.05 / $82.17	Facility		$24.16	$28.05	$82.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Professional		$49.00	$49.00	$49.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.47 / $50.84 / $61.26	Facility		$45.47	$50.84	$61.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $50.84 / $61.26	Professional		$45.47	$50.84	$61.26
United Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $52.89 / $63.47	Professional		$51.30	$52.89	$63.47