Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,262.56 / $2,262.56 / $3,484.42	Facility		$2,262.56	$2,262.56	$3,484.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,882.76 / $2,262.56 / $3,484.42	Professional		$1,882.76	$2,262.56	$3,484.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,660.81 / $3,660.81 / $3,887.78	Facility		$3,660.81	$3,660.81	$3,887.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,868.90 / $1,868.90 / $1,868.90	Professional		$1,868.90	$1,868.90	$1,868.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $1,700.00	Professional		$1,700.00	$1,700.00	$1,700.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,221.51 / $4,283.14 / $5,418.00	Professional		$3,221.51	$4,283.14	$5,418.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,262.56 / $2,413.40 / $3,881.38	Facility		$2,262.56	$2,413.40	$3,881.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,857.28 / $2,027.59 / $2,027.59	Professional		$1,857.28	$2,027.59	$2,027.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $253.72 / $657.74 / $6,330.40	Facility		$253.72	$657.74	$6,330.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $280.14 / $854.21 / $6,687.45	Professional		$280.14	$854.21	$6,687.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,788.22 / $3,128.68 / $5,083.31	Professional		$1,788.22	$3,128.68	$5,083.31