Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,762.47 / $17,378.01	Facility		$6,606.93	$7,762.47	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $3,311.31	Professional		$2,344.23	$2,818.38	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $14,125.38	Facility		$3,548.13	$3,548.13	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,137.96	Professional		$1,148.15	$1,148.15	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,918.31 / $15,848.93	Facility		$2,454.71	$6,918.31	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $2,691.53 / $5,011.87	Professional		$25.70	$2,691.53	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $5,248.07	Professional		$3,548.13	$4,265.80	$5,248.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $4,265.80	Facility		$2,344.23	$2,884.03	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $7,413.10	Professional		$2,884.03	$2,884.03	$7,413.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $4,786.30	Facility		$2,454.71	$3,548.13	$4,786.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $4,786.30	Professional		$2,454.71	$3,548.13	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,548.13 / $4,265.80	Facility		$1,479.11	$3,548.13	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $2,630.27	Professional		$1,479.11	$1,584.89	$2,630.27