Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $5,048.00 / $10,767.00	Facility		$1,652.17	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $1,652.17	Professional		$1,652.17	$1,652.17	$1,652.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.05 / $1,131.99 / $1,563.73	Professional		$880.05	$1,131.99	$1,563.73
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 $420.00 / $565.53 / $688.94	Professional		$420.00	$565.53	$688.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,094.00 / $5,088.00 / $5,088.00	Professional		$4,094.00	$5,088.00	$5,088.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $2,792.17	Facility		$1,652.17	$1,652.17	$2,792.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,503.00 / $2,763.24 / $2,803.00	Professional		$2,503.00	$2,763.24	$2,803.00
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