Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $4,325.95 / $8,602.10	Facility		$3,817.28	$4,325.95	$8,602.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,008.14 / $6,794.75	Professional		$3,817.28	$4,008.14	$6,794.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $8,054.46 / $12,978.75	Facility		$3,817.28	$8,054.46	$12,978.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,601.20 / $3,817.28	Facility		$3,601.20	$3,601.20	$3,817.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,244.69 / $4,460.43 / $4,580.74	Professional		$3,244.69	$4,460.43	$4,580.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $6,104.40	Facility		$3,817.28	$3,817.28	$6,104.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,572.08 / $3,790.60 / $4,886.12	Facility		$3,572.08	$3,790.60	$4,886.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,572.08 / $3,790.60 / $4,886.12	Professional		$3,572.08	$3,790.60	$4,886.12
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,046.32 / $4,504.39	Professional		$3,817.28	$4,046.32	$4,504.39