Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.38 / $858.38 / $858.38	Facility		$858.38	$858.38	$858.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.36 / $858.38 / $1,078.16	Professional		$611.36	$858.38	$1,078.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.71 / $768.71 / $768.71	Professional		$768.71	$768.71	$768.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $344.45 / $344.45	Facility		$344.45	$344.45	$344.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $344.45 / $344.45	Professional		$105.06	$344.45	$344.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.85 / $1,245.43 / $1,411.00	Professional		$1,037.85	$1,245.43	$1,411.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.28 / $573.57 / $858.38	Facility		$140.28	$573.57	$858.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $138.88 / $1,144.50	Facility		$91.56	$138.88	$1,144.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $158.93 / $1,144.50	Professional		$91.56	$158.93	$1,144.50
United Facility/Professional Professional Modifier Low / Median / High Price $416.26 / $590.54 / $794.44	Professional		$416.26	$590.54	$794.44