Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $5,048.00 / $10,767.00	Facility		$1,987.50	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $1,987.50	Professional		$1,987.50	$1,987.50	$1,987.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,744.00 / $10,355.77 / $14,433.40	Facility		$6,744.00	$10,355.77	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.75 / $764.80 / $1,083.44	Professional		$599.75	$764.80	$1,083.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $526.00 / $925.00	Facility		$490.00	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $560.00 / $688.94	Professional		$406.00	$560.00	$688.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,330.00 / $2,896.00 / $2,896.00	Professional		$2,330.00	$2,896.00	$2,896.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $2,047.13 / $3,358.88	Facility		$1,987.50	$2,047.13	$3,358.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,545.43 / $1,568.00	Professional		$1,400.00	$1,545.43	$1,568.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $3,658.00 / $9,929.00	Facility		$1,227.00	$3,658.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $3,658.00 / $9,929.00	Professional		$1,227.00	$3,658.00	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.26 / $1,438.26 / $1,438.26	Professional		$1,438.26	$1,438.26	$1,438.26