Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $58.78 / $3,882.89	Facility		$31.84	$58.78	$3,882.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $31.84 / $33.69	Professional		$30.32	$31.84	$33.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $63.98 / $103.09	Facility		$30.32	$63.98	$103.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $30.32	Facility		$23.58	$23.58	$30.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $36.38 / $392.55	Professional		$25.77	$36.38	$392.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $30.32 / $48.49	Facility		$30.32	$30.32	$48.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $36.69 / $372.92	Facility		$28.80	$36.69	$372.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $36.69 / $372.92	Professional		$28.80	$36.69	$372.92
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $32.14 / $39.42	Professional		$30.32	$32.14	$39.42