Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,405.28 / $4,757.70	Facility		$2,202.64	$2,405.28	$4,757.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Professional		$2,202.64	$2,202.64	$2,202.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,203.14 / $4,648.63 / $7,490.68	Facility		$2,203.14	$4,648.63	$7,490.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,073.07 / $2,073.07 / $2,073.07	Professional		$2,073.07	$2,073.07	$2,073.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Professional		$2,202.64	$2,202.64	$2,202.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $805.53 / $839.10 / $3,378.79	Professional		$805.53	$839.10	$3,378.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $536.12 / $1,885.20 / $3,354.62	Facility		$536.12	$1,885.20	$3,354.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,051.48 / $2,159.44 / $2,764.10	Facility		$2,051.48	$2,159.44	$2,764.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,051.48 / $2,159.44 / $2,764.10	Professional		$2,051.48	$2,159.44	$2,764.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,124.57 / $2,159.44 / $2,710.11	Professional		$2,124.57	$2,159.44	$2,710.11