Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.40 / $707.40 / $707.40	Facility		$707.40	$707.40	$707.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.16 / $707.40 / $1,062.96	Professional		$519.16	$707.40	$1,062.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.61 / $854.61 / $854.61	Professional		$854.61	$854.61	$854.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $945.33	Facility		$816.59	$816.59	$945.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $816.59 / $841.09	Professional		$96.84	$816.59	$841.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.78 / $965.74 / $1,235.00	Professional		$804.78	$965.74	$1,235.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.60 / $682.79 / $874.62	Facility		$117.60	$682.79	$874.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,086.69 / $1,086.69 / $1,086.69	Professional		$1,086.69	$1,086.69	$1,086.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.17 / $213.54 / $1,704.02	Facility		$80.17	$213.54	$1,704.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $231.20 / $1,704.02	Professional		$80.17	$231.20	$1,704.02
United Facility/Professional Professional Modifier Low / Median / High Price $498.26 / $590.39 / $846.66	Professional		$498.26	$590.39	$846.66