Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $7,400.81 / $14,716.40	Facility		$6,408.38	$7,400.81	$14,716.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,728.79 / $6,728.79	Professional		$6,408.38	$6,728.79	$6,728.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $13,521.68 / $21,788.49	Facility		$6,408.38	$13,521.68	$21,788.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,045.64 / $6,045.64 / $6,408.38	Facility		$6,045.64	$6,045.64	$6,408.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,447.12 / $7,690.06 / $7,793.55	Professional		$5,447.12	$7,690.06	$7,793.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $6,408.38 / $10,053.17	Facility		$62.26	$6,408.38	$10,053.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $238.00 / $238.00	Professional		$238.00	$238.00	$238.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6,087.96 / $6,408.38 / $8,202.73	Facility		$6,087.96	$6,408.38	$8,202.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6,087.96 / $6,408.38 / $8,202.73	Professional		$6,087.96	$6,408.38	$8,202.73
United Facility/Professional Professional Modifier Low / Median / High Price $6,216.13 / $6,408.38 / $7,793.55	Professional		$6,216.13	$6,408.38	$7,793.55