Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $6,165.95 / $8,128.31	Facility		$3,090.30	$6,165.95	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,630.78	Professional		$2,884.03	$3,019.95	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,011.87 / $7,943.28	Facility		$2,884.03	$5,011.87	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,897.79	Professional		$2,884.03	$2,884.03	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $1,659.59	Professional		$1,122.02	$1,621.81	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,630.78 / $4,677.35	Facility		$1,548.82	$3,630.78	$4,677.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $4,466.84	Facility		$2,884.03	$3,235.94	$4,466.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $4,466.84	Professional		$2,884.03	$3,235.94	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $4,570.88	Facility		$2,754.23	$2,884.03	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,019.95 / $3,630.78	Professional		$2,951.21	$3,019.95	$3,630.78