Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,907.40 / $1,907.40 / $1,907.40	Facility		$1,907.40	$1,907.40	$1,907.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,536.36 / $1,907.40 / $2,392.32	Professional		$1,536.36	$1,907.40	$2,392.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,315.98 / $2,315.98 / $2,315.98	Professional		$2,315.98	$2,315.98	$2,315.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.09 / $1,850.09 / $1,850.09	Facility		$1,850.09	$1,850.09	$1,850.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.23 / $1,572.58 / $1,850.09	Professional		$249.23	$1,572.58	$1,850.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,713.07 / $3,074.81 / $3,617.42	Professional		$2,713.07	$3,074.81	$3,617.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $999.23 / $1,661.78 / $3,179.60	Facility		$999.23	$1,661.78	$3,179.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,076.00 / $2,076.00 / $2,076.00	Professional		$2,076.00	$2,076.00	$2,076.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $203.46 / $1,302.40 / $3,145.80	Facility		$203.46	$1,302.40	$3,145.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $1,302.40 / $3,145.80	Professional		$203.46	$1,302.40	$3,145.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,477.38 / $1,559.88 / $2,591.90	Professional		$1,477.38	$1,559.88	$2,591.90