Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.92 / $8,920.00 / $18,862.00	Facility		$1,330.92	$8,920.00	$18,862.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.11 / $1,326.71 / $1,330.92	Professional		$1,148.11	$1,326.71	$1,330.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.12 / $728.06 / $1,001.63	Professional		$572.12	$728.06	$1,001.63
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 $1,157.22 / $1,388.66 / $1,712.69	Professional		$1,157.22	$1,388.66	$1,712.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,151.99 / $1,330.92 / $2,242.14	Facility		$1,151.99	$1,330.92	$2,242.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,562.00 / $2,111.00 / $2,717.74	Professional		$1,562.00	$2,111.00	$2,717.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,185.73 / $1,587.55 / $4,462.00	Facility		$1,185.73	$1,587.55	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,185.73 / $1,587.55 / $4,462.00	Professional		$1,185.73	$1,587.55	$4,462.00
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 $1,088.89 / $1,749.90 / $2,637.35	Professional		$1,088.89	$1,749.90	$2,637.35