Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,114.80 / $4,722.22 / $6,158.51	Facility		$2,114.80	$4,722.22	$6,158.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,866.00 / $2,114.80 / $2,114.80	Professional		$1,866.00	$2,114.80	$2,114.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,449.42 / $12,116.56 / $15,301.20	Facility		$9,449.42	$12,116.56	$15,301.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $358.80 / $1,288.78	Professional		$358.80	$358.80	$1,288.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,617.20 / $4,630.67 / $12,745.23	Facility		$1,617.20	$4,630.67	$12,745.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.63 / $2,859.20 / $3,574.00	Professional		$1,036.63	$2,859.20	$3,574.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,985.60 / $3,110.00 / $3,682.24	Professional		$2,985.60	$3,110.00	$3,682.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,492.80 / $1,940.64 / $2,861.20	Facility		$1,492.80	$1,940.64	$2,861.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,040.16 / $2,488.00 / $5,224.80	Professional		$2,040.16	$2,488.00	$5,224.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,739.11 / $2,861.20 / $6,075.70	Facility		$1,739.11	$2,861.20	$6,075.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,617.20 / $2,893.05 / $5,068.06	Professional		$1,617.20	$2,893.05	$5,068.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,244.00 / $1,866.00	Professional		$1,044.96	$1,244.00	$1,866.00