Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,883.93 / $1,883.93 / $1,883.93	Facility		$1,883.93	$1,883.93	$1,883.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.40 / $1,883.93 / $2,632.72	Professional		$1,640.40	$1,883.93	$2,632.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,245.57 / $2,245.57 / $2,245.57	Professional		$2,245.57	$2,245.57	$2,245.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,918.38 / $2,225.09 / $2,225.09	Facility		$1,918.38	$2,225.09	$2,225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.97 / $2,225.09 / $2,225.09	Professional		$274.97	$2,225.09	$2,225.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,721.74 / $3,266.09 / $3,628.99	Professional		$2,721.74	$3,266.09	$3,628.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $313.20 / $1,640.40 / $2,128.84	Facility		$313.20	$1,640.40	$2,128.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,533.00 / $2,533.00 / $2,533.00	Professional		$2,533.00	$2,533.00	$2,533.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $200.95 / $341.06 / $3,039.30	Facility		$200.95	$341.06	$3,039.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $200.95 / $341.06 / $3,039.30	Professional		$200.95	$341.06	$3,039.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.08 / $1,289.11 / $1,831.54	Professional		$1,044.08	$1,289.11	$1,831.54