Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.70 / $1,214.63 / $2,623.60	Facility		$921.70	$1,214.63	$2,623.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.27 / $1,214.63 / $1,402.50	Professional		$951.27	$1,214.63	$1,402.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,166.05 / $1,166.05 / $1,166.05	Professional		$1,166.05	$1,166.05	$1,166.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,166.05 / $1,311.80 / $1,559.59	Professional		$1,166.05	$1,311.80	$1,559.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,260.21 / $1,457.56	Facility		$1,214.63	$1,260.21	$1,457.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $673.23 / $1,238.93 / $1,749.07	Professional		$673.23	$1,238.93	$1,749.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,153.90 / $1,241.26 / $1,554.73	Facility		$1,153.90	$1,241.26	$1,554.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,153.90 / $1,241.26 / $1,554.73	Professional		$1,153.90	$1,241.26	$1,554.73
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,275.35	Professional		$485.85	$1,214.63	$1,275.35