Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.96 / $1,113.96 / $1,113.96	Facility		$1,113.96	$1,113.96	$1,113.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.74 / $1,113.96 / $1,498.78	Professional		$953.74	$1,113.96	$1,498.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,851.99 / $1,851.99 / $1,851.99	Facility		$1,851.99	$1,851.99	$1,851.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,468.86 / $1,468.86 / $1,468.86	Professional		$1,468.86	$1,468.86	$1,468.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,629.32	Facility		$1,217.05	$1,217.05	$1,629.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $1,034.49 / $1,455.57	Professional		$1,034.49	$1,034.49	$1,455.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,338.47 / $1,583.06 / $2,123.71	Professional		$1,338.47	$1,583.06	$2,123.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,134.29 / $1,417.27 / $1,851.99	Facility		$1,134.29	$1,417.27	$1,851.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,188.42 / $2,188.42 / $2,188.42	Professional		$2,188.42	$2,188.42	$2,188.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $126.25 / $260.50 / $2,084.21	Facility		$126.25	$260.50	$2,084.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $260.50 / $2,084.21	Professional		$126.25	$260.50	$2,084.21
United Facility/Professional Professional Modifier Low / Median / High Price $942.51 / $1,118.19 / $1,709.74	Professional		$942.51	$1,118.19	$1,709.74