Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,283.40 / $8,920.00 / $18,862.00	Facility		$2,283.40	$8,920.00	$18,862.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.51 / $2,088.89 / $2,283.40	Professional		$1,807.51	$2,088.89	$2,283.40
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 $2,237.42 / $2,684.92 / $3,311.40	Professional		$2,237.42	$2,684.92	$3,311.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,914.58 / $2,297.78 / $3,530.22	Facility		$1,914.58	$2,297.78	$3,530.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,823.00 / $3,416.00 / $5,164.89	Professional		$2,823.00	$3,416.00	$5,164.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,889.92 / $2,383.85 / $4,798.37	Facility		$1,889.92	$2,383.85	$4,798.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,889.92 / $2,383.85 / $4,798.37	Professional		$1,889.92	$2,383.85	$4,798.37
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 $1,686.89 / $2,728.48 / $4,025.42	Professional		$1,686.89	$2,728.48	$4,025.42