Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,043.15 / $2,043.15 / $2,043.15	Facility		$2,043.15	$2,043.15	$2,043.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.18 / $2,043.15 / $2,517.19	Professional		$932.18	$2,043.15	$2,517.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,433.71 / $2,433.71 / $2,433.71	Professional		$2,433.71	$2,433.71	$2,433.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $2,396.69	Facility		$1,440.00	$1,440.00	$2,396.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,440.00 / $1,483.20	Professional		$1,224.00	$1,440.00	$1,483.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,423.31 / $2,746.42 / $3,231.08	Professional		$2,423.31	$2,746.42	$3,231.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $330.58 / $1,338.81 / $2,043.15	Facility		$330.58	$1,338.81	$2,043.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,129.00 / $2,129.00 / $2,129.00	Professional		$2,129.00	$2,129.00	$2,129.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $217.94 / $378.29 / $2,724.20	Facility		$217.94	$378.29	$2,724.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $217.94 / $378.29 / $2,724.20	Professional		$217.94	$378.29	$2,724.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,283.63 / $1,490.63 / $2,296.23	Professional		$1,283.63	$1,490.63	$2,296.23