Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,453.77 / $2,453.77 / $2,453.77	Facility		$2,453.77	$2,453.77	$2,453.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,022.34 / $2,453.77 / $3,148.86	Professional		$2,022.34	$2,453.77	$3,148.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.47 / $4,079.47 / $4,079.47	Facility		$4,079.47	$4,079.47	$4,079.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,129.41 / $3,129.41 / $3,129.41	Professional		$3,129.41	$3,129.41	$3,129.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,672.64 / $2,672.64 / $2,672.64	Facility		$2,672.64	$2,672.64	$2,672.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,271.73 / $2,672.64 / $3,492.32	Professional		$2,271.73	$2,672.64	$3,492.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,975.34 / $3,467.55 / $4,675.53	Professional		$2,975.34	$3,467.55	$4,675.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,401.79 / $2,496.69 / $4,079.47	Facility		$2,401.79	$2,496.69	$4,079.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,855.18 / $3,855.18 / $3,855.18	Professional		$3,855.18	$3,855.18	$3,855.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $275.36 / $470.96 / $3,671.60	Facility		$275.36	$470.96	$3,671.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $275.36 / $470.96 / $3,671.60	Professional		$275.36	$470.96	$3,671.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,872.52 / $2,047.28 / $3,120.86	Professional		$1,872.52	$2,047.28	$3,120.86