Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,556.85 / $1,764.43 / $4,605.16	Facility		$1,556.85	$1,764.43	$4,605.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,556.85 / $1,702.16 / $1,764.43	Professional		$1,556.85	$1,702.16	$1,764.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,883.89 / $10,109.15 / $12,766.17	Facility		$7,883.89	$10,109.15	$12,766.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $1,075.26	Professional		$12.34	$12.34	$1,075.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.27 / $8,468.95 / $10,633.30	Facility		$1,349.27	$8,468.95	$10,633.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,385.08 / $2,385.08 / $2,981.34	Professional		$2,385.08	$2,385.08	$2,981.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,490.96 / $2,594.75 / $3,072.18	Professional		$2,490.96	$2,594.75	$3,072.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,390.79 / $1,681.40 / $2,573.98	Facility		$1,390.79	$1,681.40	$2,573.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,702.16 / $1,702.16 / $2,075.80	Professional		$1,702.16	$1,702.16	$2,075.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,349.27 / $2,283.38 / $4,317.04	Facility		$1,349.27	$2,283.38	$4,317.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,349.27 / $2,387.17 / $4,560.53	Professional		$1,349.27	$2,387.17	$4,560.53
United Facility/Professional Facility Modifier Low / Median / High Price $871.84 / $871.84 / $871.84	Facility		$871.84	$871.84	$871.84
United Facility/Professional Professional Modifier Low / Median / High Price $871.84 / $934.11 / $1,556.85	Professional		$871.84	$934.11	$1,556.85