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 $6,385.00 / $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 $2,258.07 / $2,887.56 / $3,960.28	Professional		$2,258.07	$2,887.56	$3,960.28
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 $448.00 / $637.00 / $6,359.46	Professional		$448.00	$637.00	$6,359.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,076.00 / $8,795.00 / $8,795.00	Professional		$7,076.00	$8,795.00	$8,795.00
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 $2,498.00 / $2,652.00 / $2,777.00	Professional		$2,498.00	$2,652.00	$2,777.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $2,315.40 / $9,929.00	Facility		$1,227.00	$2,315.40	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $2,315.40 / $9,929.00	Professional		$1,227.00	$2,315.40	$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 $4,507.56 / $4,507.56 / $12,235.00	Professional		$4,507.56	$4,507.56	$12,235.00