Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.30 / $1,473.30 / $2,350.35	Facility		$1,473.30	$1,473.30	$2,350.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.30 / $1,473.30 / $2,621.19	Professional		$1,473.30	$1,473.30	$2,621.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,751.98 / $1,751.98 / $1,751.98	Professional		$1,751.98	$1,751.98	$1,751.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,261.53 / $3,685.49 / $3,685.49	Facility		$3,261.53	$3,685.49	$3,685.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.45 / $3,685.49 / $3,685.49	Professional		$218.45	$3,685.49	$3,685.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,549.13 / $1,858.95 / $2,457.94	Professional		$1,549.13	$1,858.95	$2,457.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $244.93 / $2,350.35 / $2,585.39	Facility		$244.93	$2,350.35	$2,585.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,530.00 / $5,530.00 / $5,530.00	Professional		$5,530.00	$5,530.00	$5,530.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $176.80 / $729.09 / $5,541.07	Facility		$176.80	$729.09	$5,541.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $846.14 / $5,541.07	Professional		$176.80	$846.14	$5,541.07
United Facility/Professional Professional Modifier Low / Median / High Price $168.54 / $247.19 / $2,127.11	Professional		$168.54	$247.19	$2,127.11