Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.96 / $2,480.23 / $4,214.78	Facility		$977.96	$2,480.23	$4,214.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.96 / $977.96 / $1,069.24	Professional		$977.96	$977.96	$1,069.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,246.05 / $5,444.51 / $6,875.52	Facility		$4,246.05	$5,444.51	$6,875.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $482.18	Professional		$288.83	$288.83	$482.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,043.16 / $1,043.16 / $2,034.16	Professional		$1,043.16	$1,043.16	$2,034.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.57 / $2,426.96 / $6,679.58	Facility		$847.57	$2,426.96	$6,679.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,588.27 / $1,588.27 / $1,902.92	Professional		$1,588.27	$1,588.27	$1,902.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,564.74 / $1,929.85	Professional		$1,303.95	$1,564.74	$1,929.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.96 / $1,251.79 / $1,900.56	Facility		$977.96	$1,251.79	$1,900.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,319.00 / $2,581.82 / $3,129.48	Professional		$1,319.00	$2,581.82	$3,129.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $812.10 / $1,358.35 / $2,456.19	Facility		$812.10	$1,358.35	$2,456.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $696.28 / $1,410.87 / $2,656.15	Professional		$696.28	$1,410.87	$2,656.15
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $558.99 / $1,285.68	Professional		$469.55	$558.99	$1,285.68