Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,677.35 / $6,165.95	Facility		$1,862.09	$4,677.35	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $2,137.96	Professional		$1,659.59	$1,862.09	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $12,882.50 / $15,488.17	Facility		$10,000.00	$12,882.50	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,513.56	Professional		$354.81	$354.81	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,897.79 / $12,882.50	Facility		$1,621.81	$4,897.79	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,884.03 / $3,548.13	Professional		$1,047.13	$2,884.03	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,715.35	Professional		$2,511.89	$3,019.95	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,884.03	Facility		$1,479.11	$1,995.26	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $5,248.07	Professional		$2,041.74	$2,041.74	$5,248.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $6,309.57	Facility		$1,737.80	$2,818.38	$6,309.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $5,128.61	Professional		$1,737.80	$2,818.38	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,511.89 / $3,019.95	Facility		$1,047.13	$2,511.89	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $1,862.09	Professional		$1,047.13	$1,122.02	$1,862.09