Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.13 / $1,300.13 / $1,300.13	Facility		$1,300.13	$1,300.13	$1,300.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.89 / $1,300.13 / $1,619.52	Professional		$1,042.89	$1,300.13	$1,619.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,565.74 / $1,565.74 / $1,565.74	Professional		$1,565.74	$1,565.74	$1,565.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,516.14 / $1,516.14 / $2,075.01	Facility		$1,516.14	$1,516.14	$2,075.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $1,743.98 / $1,743.98	Professional		$169.88	$1,743.98	$1,743.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,834.25 / $2,078.82 / $2,445.67	Professional		$1,834.25	$2,078.82	$2,445.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $1,132.66 / $2,126.80	Facility		$675.54	$1,132.66	$2,126.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,557.00 / $1,557.00 / $1,557.00	Professional		$1,557.00	$1,557.00	$1,557.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $138.68 / $885.90 / $1,912.23	Facility		$138.68	$885.90	$1,912.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $885.90 / $1,854.44	Professional		$138.68	$885.90	$1,854.44
United Facility/Professional Professional Modifier Low / Median / High Price $900.73 / $1,058.88 / $1,612.49	Professional		$900.73	$1,058.88	$1,612.49