Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,275.00 / $1,275.00	Professional		$1,200.00	$1,275.00	$1,275.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,601.76	Professional		$1,200.00	$1,200.00	$1,601.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,259.79 / $1,526.09 / $1,983.91	Professional		$1,259.79	$1,526.09	$1,983.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,500.00 / $1,941.83	Facility		$1,275.00	$1,500.00	$1,941.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,746.00 / $2,380.37	Professional		$1,170.00	$1,746.00	$2,380.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,015.85 / $1,178.39 / $2,112.96	Facility		$1,015.85	$1,178.39	$2,112.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,015.85 / $1,178.39 / $2,112.96	Professional		$1,015.85	$1,178.39	$2,112.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,500.00	Professional		$1,250.00	$1,250.00	$1,500.00