Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.61 / $5,412.00 / $13,209.00	Facility		$2,398.61	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,069.80 / $2,372.31 / $2,398.61	Professional		$2,069.80	$2,372.31	$2,398.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $20,977.18 / $29,216.95	Facility		$4,112.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,542.24 / $1,972.18 / $3,260.60	Professional		$1,542.24	$1,972.18	$3,260.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,520.26	Facility		$640.00	$640.00	$2,520.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,495.89 / $10,495.89 / $10,495.89	Professional		$10,495.89	$10,495.89	$10,495.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,111.44 / $2,701.85 / $3,124.93	Professional		$2,111.44	$2,701.85	$3,124.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,993.13 / $2,518.54 / $4,077.64	Facility		$1,993.13	$2,518.54	$4,077.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,919.69 / $3,490.94 / $5,212.46	Professional		$2,919.69	$3,490.94	$5,212.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,111.07 / $2,834.73 / $4,833.38	Facility		$2,111.07	$2,834.73	$4,833.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,111.07 / $2,834.73 / $4,833.38	Professional		$2,111.07	$2,834.73	$4,833.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,842.02 / $2,963.32 / $4,597.96	Professional		$1,842.02	$2,963.32	$4,597.96