Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,288.25	Professional		$1,202.26	$1,258.93	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,041.74	Professional		$1,202.26	$1,202.26	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $239.88	Professional		$120.23	$151.36	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,041.74	Facility		$1,023.29	$1,380.38	$2,041.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,570.40	Facility		$891.25	$1,148.15	$2,570.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,570.40	Professional		$891.25	$1,148.15	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,000.00 / $1,258.93	Professional		$125.89	$1,000.00	$1,258.93