Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $8,325.39	Facility		$1,053.85	$1,053.85	$8,325.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,053.85 / $1,053.85	Professional		$991.87	$1,053.85	$1,053.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.55 / $700.82 / $1,505.49	Facility		$511.55	$700.82	$1,505.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $991.87 / $1,323.94	Professional		$991.87	$991.87	$1,323.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,001.17 / $1,118.96 / $1,378.08	Professional		$1,001.17	$1,118.96	$1,378.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,239.83 / $1,605.03	Facility		$1,053.85	$1,239.83	$1,605.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,239.83 / $1,239.83 / $1,239.83	Professional		$1,239.83	$1,239.83	$1,239.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,033.20 / $1,177.84 / $1,549.80	Facility		$1,033.20	$1,177.84	$1,549.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,177.84 / $1,549.80	Professional		$1,033.20	$1,177.84	$1,549.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,136.19	Professional		$1,033.20	$1,033.20	$1,136.19