Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.68 / $5,412.00 / $16,216.00	Facility		$1,205.68	$5,412.00	$16,216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.40 / $1,204.94 / $1,205.68	Professional		$1,040.40	$1,204.94	$1,205.68
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 $918.29 / $1,164.49 / $1,607.68	Professional		$918.29	$1,164.49	$1,607.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,122.00 / $8,122.00 / $10,523.00	Facility		$8,122.00	$8,122.00	$10,523.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,060.90 / $1,273.08 / $1,570.13	Professional		$1,060.90	$1,273.08	$1,570.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,060.90 / $1,234.13 / $2,036.35	Facility		$1,060.90	$1,234.13	$2,036.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,432.00 / $1,871.00 / $2,618.64	Professional		$1,432.00	$1,871.00	$2,618.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,074.16 / $1,438.17 / $4,462.00	Facility		$1,074.16	$1,438.17	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,074.16 / $1,438.17 / $4,462.00	Professional		$1,074.16	$1,438.17	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.28 / $1,570.58 / $2,180.62	Professional		$1,003.28	$1,570.58	$2,180.62