Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,648.93 / $2,648.93 / $2,648.93	Facility		$2,648.93	$2,648.93	$2,648.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,960.04 / $2,648.93 / $3,305.84	Professional		$1,960.04	$2,648.93	$3,305.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.00 / $2,691.00 / $2,691.00	Professional		$2,691.00	$2,691.00	$2,691.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.05 / $2,225.05 / $2,225.05	Facility		$2,225.05	$2,225.05	$2,225.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.68 / $2,225.05 / $2,225.05	Professional		$343.68	$2,225.05	$2,225.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,327.86 / $3,771.57 / $4,437.14	Professional		$3,327.86	$3,771.57	$4,437.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $453.97 / $1,592.28 / $2,648.93	Facility		$453.97	$1,592.28	$2,648.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11,586.00 / $11,586.00 / $11,586.00	Professional		$11,586.00	$11,586.00	$11,586.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $282.55 / $428.60 / $3,531.90	Facility		$282.55	$428.60	$3,531.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $282.55 / $428.60 / $3,531.90	Professional		$282.55	$428.60	$3,531.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,354.21 / $1,491.36 / $2,599.36	Professional		$1,354.21	$1,491.36	$2,599.36