Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,083.54 / $8,920.00 / $18,862.00	Facility		$2,083.54	$8,920.00	$18,862.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,520.68 / $2,083.54 / $2,088.78	Professional		$1,520.68	$2,083.54	$2,088.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,966.61 / $33,300.96 / $46,381.49	Facility		$14,966.61	$33,300.96	$46,381.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $1,929.96	Professional		$0.02	$0.02	$1,929.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,495.00 / $14,985.00 / $40,100.00	Facility		$8,495.00	$14,985.00	$40,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,458.54 / $1,750.25 / $2,158.64	Professional		$1,458.54	$1,750.25	$2,158.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,504.39 / $2,083.54 / $3,173.23	Facility		$1,504.39	$2,083.54	$3,173.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,969.00 / $2,901.00 / $3,422.28	Professional		$1,969.00	$2,901.00	$3,422.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,631.84 / $2,307.31 / $4,637.41	Facility		$1,631.84	$2,307.31	$4,637.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,631.84 / $2,307.31 / $4,637.41	Professional		$1,631.84	$2,307.31	$4,637.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,652.52 / $2,694.56 / $4,009.00	Professional		$1,652.52	$2,694.56	$4,009.00