Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,135.78 / $2,246.59	Facility		$1,040.08	$1,135.78	$2,246.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.71 / $868.71 / $1,399.81	Facility		$411.71	$868.71	$1,399.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.91 / $978.91 / $978.91	Professional		$978.91	$978.91	$978.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Facility		$1,040.08	$1,040.08	$1,040.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.27 / $209.65 / $1,223.64	Professional		$201.27	$209.65	$1,223.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.36 / $1,050.14 / $1,584.06	Facility		$176.36	$1,050.14	$1,584.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Professional		$285.00	$285.00	$285.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $968.72 / $1,019.70 / $1,305.22	Facility		$968.72	$1,019.70	$1,305.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $968.72 / $1,019.70 / $1,305.22	Professional		$968.72	$1,019.70	$1,305.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.23 / $1,019.70 / $1,223.64	Professional		$1,003.23	$1,019.70	$1,223.64