Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,365.16 / $14,791.08	Facility		$2,290.87	$4,365.16	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,691.53	Professional		$1,380.38	$1,905.46	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $22,387.21 / $38,018.94	Facility		$12,882.50	$22,387.21	$38,018.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,778.28	Professional		$912.01	$1,230.27	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $4,073.80	Professional		$1,584.89	$2,454.71	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,454.71	Professional		$1,659.59	$1,995.26	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $3,715.35	Facility		$1,737.80	$2,238.72	$3,715.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $10,000.00	Facility		$1,513.56	$2,570.40	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $10,000.00	Professional		$1,513.56	$2,570.40	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $3,630.78	Professional		$1,148.15	$1,698.24	$3,630.78