Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $5,699.61	Facility		$2,326.37	$2,326.37	$5,699.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,326.37	Professional		$2,326.37	$2,326.37	$2,326.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.41 / $232.97 / $375.39	Facility		$110.41	$232.97	$375.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,189.53 / $2,189.53 / $2,189.53	Professional		$2,189.53	$2,189.53	$2,189.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Facility		$2,554.44	$2,554.44	$2,554.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Professional		$2,554.44	$2,554.44	$2,554.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.51 / $145.08 / $148.44	Professional		$142.51	$145.08	$148.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.75 / $2,736.91 / $3,543.06	Facility		$128.75	$2,736.91	$3,543.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,444.25 / $2,600.06 / $3,357.27	Facility		$2,444.25	$2,600.06	$3,357.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,444.25 / $2,600.06 / $3,357.27	Professional		$2,444.25	$2,600.06	$3,357.27
United Facility/Professional Facility Modifier Low / Median / High Price $8,566.15 / $8,566.15 / $8,566.15	Facility		$8,566.15	$8,566.15	$8,566.15
United Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,736.91 / $2,873.76	Professional		$2,349.17	$2,736.91	$2,873.76