Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,680.96 / $7,699.66 / $13,270.40	Facility		$6,680.96	$7,699.66	$13,270.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,680.96 / $6,680.96 / $7,699.66	Professional		$6,680.96	$6,680.96	$7,699.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $17,142.40	Facility		$3,520.00	$3,520.00	$17,142.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $1,823.36	Professional		$1,148.40	$1,148.40	$1,823.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,313.55 / $6,577.37 / $18,032.50	Facility		$2,313.55	$6,577.37	$18,032.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $2,679.02 / $5,056.14	Professional		$25.69	$2,679.02	$5,056.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,224.00 / $4,400.00 / $5,209.60	Professional		$4,224.00	$4,400.00	$5,209.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,971.20 / $2,851.20 / $4,224.00	Facility		$1,971.20	$2,851.20	$4,224.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,886.40 / $3,520.00 / $7,392.00	Professional		$2,886.40	$3,520.00	$7,392.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $3,449.60 / $5,646.08	Facility		$2,288.00	$3,449.60	$5,646.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,288.00 / $3,449.60 / $5,646.08	Professional		$2,288.00	$3,449.60	$5,646.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $1,760.00 / $3,520.00	Professional		$1,478.40	$1,760.00	$3,520.00