Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.43 / $1,554.42 / $1,554.42	Facility		$1,332.43	$1,554.42	$1,554.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,332.43 / $1,398.77 / $1,637.56	Professional		$1,332.43	$1,398.77	$1,637.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $1,141.26 / $1,342.67	Professional		$32.28	$1,141.26	$1,342.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,977.00 / $2,095.62 / $2,510.79	Professional		$1,977.00	$2,095.62	$2,510.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,130.17 / $1,564.85 / $2,086.46	Professional		$1,130.17	$1,564.85	$2,086.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,332.43 / $1,550.96 / $2,020.75	Facility		$1,332.43	$1,550.96	$2,020.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $4,071.00 / $4,071.00	Facility		$4,071.00	$4,071.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $4,071.00 / $4,071.00	Professional		$4,071.00	$4,071.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.67 / $1,342.67 / $1,342.67	Professional		$1,342.67	$1,342.67	$1,342.67