Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $6,162.90 / $6,810.22	Facility		$3,081.45	$6,162.90	$6,810.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,301.91 / $4,857.03 / $7,826.49	Facility		$2,301.91	$4,857.03	$7,826.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,900.19 / $2,900.19 / $2,900.19	Professional		$2,900.19	$2,900.19	$2,900.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Facility		$3,081.45	$3,081.45	$3,081.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,572.66 / $1,601.17 / $1,638.19	Professional		$1,572.66	$1,601.17	$1,638.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,553.30 / $3,625.24 / $4,693.05	Facility		$1,553.30	$3,625.24	$4,693.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,716.00 / $2,716.00 / $2,716.00	Professional		$2,716.00	$2,716.00	$2,716.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,869.99 / $3,021.04 / $3,866.93	Facility		$2,869.99	$3,021.04	$3,866.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,869.99 / $3,021.04 / $3,866.93	Professional		$2,869.99	$3,021.04	$3,866.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,930.41 / $3,021.04 / $3,625.24	Professional		$2,930.41	$3,021.04	$3,625.24