Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,837.99 / $4,523.76 / $9,047.52	Facility		$3,837.99	$4,523.76	$9,047.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,963.75 / $2,495.77 / $2,616.01	Professional		$1,963.75	$2,495.77	$2,616.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.78 / $897.49 / $1,265.33	Professional		$705.78	$897.49	$1,265.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,229.58 / $1,229.58 / $4,290.22	Professional		$1,229.58	$1,229.58	$4,290.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.51 / $3,744.00 / $5,855.68	Facility		$1,057.51	$3,744.00	$5,855.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,062.39 / $5,062.39 / $5,063.93	Professional		$5,062.39	$5,062.39	$5,063.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,066.98 / $1,489.98 / $1,526.52	Professional		$1,066.98	$1,489.98	$1,526.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $893.17 / $1,334.58 / $1,685.22	Facility		$893.17	$1,334.58	$1,685.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $1,776.00 / $2,538.02	Professional		$75.00	$1,776.00	$2,538.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $919.98 / $1,399.89 / $4,454.34	Facility		$919.98	$1,399.89	$4,454.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $928.30 / $1,501.10 / $4,454.34	Professional		$928.30	$1,501.10	$4,454.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,245.79 / $2,488.96 / $5,948.06	Facility		$2,245.79	$2,488.96	$5,948.06
United Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $1,044.34 / $1,756.87	Professional		$76.16	$1,044.34	$1,756.87