Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,273.02 / $5,087.00 / $8,920.00	Facility		$2,273.02	$5,087.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,734.00 / $11,244.48 / $15,661.28	Facility		$6,734.00	$11,244.48	$15,661.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,553.94 / $2,553.94 / $2,553.94	Facility		$2,553.94	$2,553.94	$2,553.94
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,572.60 / $1,572.60 / $1,572.60	Facility	62	$1,572.60	$1,572.60	$1,572.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,323.96 / $2,568.59 / $3,057.85	Professional		$2,323.96	$2,568.59	$3,057.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,079.29 / $2,663.32 / $4,224.17	Facility		$2,079.29	$2,663.32	$4,224.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,191.66 / $2,956.50 / $8,260.00	Facility		$2,191.66	$2,956.50	$8,260.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00