Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,477.92 / $5,412.00 / $13,209.00	Facility		$2,477.92	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,138.23 / $2,450.77 / $2,494.15	Professional		$2,138.23	$2,450.77	$2,494.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,690.24 / $2,161.44 / $3,573.50	Professional		$1,690.24	$2,161.44	$3,573.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,604.13	Facility		$640.00	$640.00	$2,604.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,842.01 / $10,842.01 / $10,842.01	Professional		$10,842.01	$10,842.01	$10,842.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,180.73 / $2,790.54 / $3,227.50	Professional		$2,180.73	$2,790.54	$3,227.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,059.02 / $2,601.83 / $4,212.47	Facility		$2,059.02	$2,601.83	$4,212.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,015.76 / $3,605.79 / $5,385.82	Professional		$3,015.76	$3,605.79	$5,385.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,180.69 / $2,928.47 / $4,993.22	Facility		$2,180.69	$2,928.47	$4,993.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,180.69 / $2,928.47 / $4,993.22	Professional		$2,180.69	$2,928.47	$4,993.22
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 $1,877.20 / $3,026.99 / $4,481.60	Professional		$1,877.20	$3,026.99	$4,481.60