Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,912.00 / $4,032.00 / $8,920.00	Facility		$1,912.00	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,358.71 / $3,889.69 / $3,892.26	Professional		$3,358.71	$3,889.69	$3,892.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,113.76 / $2,659.78 / $3,707.20	Professional		$2,113.76	$2,659.78	$3,707.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,628.94 / $3,154.73 / $3,822.67	Professional		$2,628.94	$3,154.73	$3,822.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,058.14 / $3,994.32 / $6,577.92	Facility		$3,058.14	$3,994.32	$6,577.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,812.00 / $6,042.00 / $7,126.34	Professional		$3,812.00	$6,042.00	$7,126.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,147.19 / $4,493.81 / $7,843.20	Facility		$3,147.19	$4,493.81	$7,843.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,147.19 / $4,493.81 / $7,843.20	Professional		$3,147.19	$4,493.81	$7,843.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,889.00	Facility		$1,911.00	$3,276.00	$5,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,948.66 / $5,070.25 / $7,853.12	Professional		$2,948.66	$5,070.25	$7,853.12