Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,454.71 / $3,235.94	Facility		$977.24	$2,454.71	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,230.27	Professional		$870.96	$1,023.29	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,760.83 / $8,128.31	Facility		$5,248.07	$6,760.83	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $354.81	Professional		$199.53	$199.53	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,174.90	Professional		$1,000.00	$1,071.52	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,235.94 / $6,760.83	Facility		$1,318.26	$3,235.94	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,737.80	Professional		$1,445.44	$1,445.44	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,819.70	Professional		$1,318.26	$1,445.44	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,041.74	Facility		$977.24	$1,258.93	$2,041.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,754.23	Professional		$851.14	$851.14	$2,754.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,691.53	Facility		$912.01	$1,479.11	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,691.53	Professional		$912.01	$1,479.11	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,318.26 / $1,548.82	Facility		$776.25	$1,318.26	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $1,513.56	Professional		$549.54	$645.65	$1,513.56