Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $5,048.00 / $10,767.00	Facility		$1,875.00	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Professional		$1,875.00	$1,875.00	$1,875.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,138.74 / $1,456.19 / $2,400.00	Professional		$1,138.74	$1,456.19	$2,400.00
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 / $582.61 / $707.00	Professional		$420.00	$582.61	$707.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Professional		$525.00	$525.00	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,931.25 / $3,168.75	Facility		$1,875.00	$1,931.25	$3,168.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,788.00 / $1,888.00 / $1,989.00	Professional		$1,788.00	$1,888.00	$1,989.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7,420.00 / $9,929.00 / $10,945.00	Facility		$7,420.00	$9,929.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7,420.00 / $9,929.00 / $10,945.00	Professional		$7,420.00	$9,929.00	$10,945.00
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 $7,980.00 / $7,980.00 / $7,980.00	Professional		$7,980.00	$7,980.00	$7,980.00