Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,011.87 / $12,882.50	Facility		$2,344.23	$5,011.87	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,691.53	Professional		$1,513.56	$2,137.96	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $4,073.80	Professional		$1,659.59	$2,290.87	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Professional		$10,471.29	$10,471.29	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $3,235.94	Professional		$2,187.76	$2,570.40	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $3,715.35	Facility		$1,659.59	$2,398.83	$3,715.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $5,495.41	Facility		$2,089.30	$2,818.38	$5,495.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $5,495.41	Professional		$2,089.30	$2,818.38	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,467.37 / $7,079.46	Facility		$1,584.89	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $4,466.84	Professional		$1,698.24	$2,691.53	$4,466.84