Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $891.25	Facility		$870.96	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $933.25	Professional		$407.38	$691.83	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $173.78 / $1,071.52	Professional		$66.07	$173.78	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,548.82	Professional		$1,000.00	$1,318.26	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $870.96 / $1,479.11	Facility		$109.65	$870.96	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $794.33 / $1,445.44	Facility		$112.20	$794.33	$1,445.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,445.44	Professional		$549.54	$794.33	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $12,589.25	Facility		$3,630.78	$3,981.07	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,621.81	Professional		$660.69	$954.99	$1,621.81