Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,842.46 / $5,282.00 / $10,767.00	Facility		$2,842.46	$5,282.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,842.46 / $3,225.55 / $3,560.08	Professional		$2,842.46	$3,225.55	$3,560.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,205.80 / $4,079.54 / $5,612.47	Professional		$3,205.80	$4,079.54	$5,612.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,831.28 / $3,708.77 / $6,357.11	Professional		$2,831.28	$3,708.77	$6,357.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,480.86 / $2,977.03 / $3,671.67	Professional		$2,480.86	$2,977.03	$3,671.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,842.46 / $3,373.10 / $5,011.20	Facility		$2,842.46	$3,373.10	$5,011.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,734.00 / $4,662.00 / $6,363.02	Professional		$3,734.00	$4,662.00	$6,363.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $3,530.04 / $9,929.00	Facility		$2,070.00	$3,530.04	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $3,530.04 / $9,929.00	Professional		$2,070.00	$3,530.04	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,250.58 / $2,975.69 / $4,971.04	Professional		$2,250.58	$2,975.69	$4,971.04