Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,467.37 / $3,467.37	Facility		$2,238.72	$3,467.37	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $3,467.37	Professional		$1,659.59	$3,019.95	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,890.45	Facility		$3,630.78	$3,630.78	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,630.27	Professional		$1,862.09	$1,862.09	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $5,888.44	Facility		$870.96	$3,630.78	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $17,782.79	Professional		$1,698.24	$1,698.24	$17,782.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $5,495.41	Professional		$3,311.31	$4,365.16	$5,495.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $3,890.45	Facility		$2,238.72	$2,398.83	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $2,041.74	Professional		$1,862.09	$2,041.74	$2,041.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $851.14 / $7,943.28	Facility		$263.03	$851.14	$7,943.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,000.00 / $10,000.00	Professional		$281.84	$1,000.00	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $3,715.35	Facility		$295.12	$588.84	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $5,128.61	Professional		$1,819.70	$2,691.53	$5,128.61