Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,011.87 / $12,882.50	Facility		$2,398.83	$5,011.87	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $2,754.23	Professional		$1,584.89	$2,238.72	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $4,466.84	Professional		$1,819.70	$2,511.89	$4,466.84
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 $10,964.78 / $10,964.78 / $10,964.78	Professional		$10,964.78	$10,964.78	$10,964.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $3,311.31	Professional		$2,238.72	$2,691.53	$3,311.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,801.89	Facility		$1,698.24	$2,454.71	$3,801.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $5,754.40	Facility		$2,089.30	$2,951.21	$5,754.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $5,754.40	Professional		$2,089.30	$2,951.21	$5,754.40
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 $1,778.28 / $2,818.38 / $4,570.88	Professional		$1,778.28	$2,818.38	$4,570.88