Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.55 / $1,088.55 / $1,088.55	Facility		$1,088.55	$1,088.55	$1,088.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.68 / $1,088.55 / $1,341.12	Professional		$496.68	$1,088.55	$1,341.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $956.33 / $956.33 / $956.33	Professional		$956.33	$956.33	$956.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,079.54 / $1,079.54 / $1,204.00	Professional		$1,079.54	$1,079.54	$1,204.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $469.00	Facility		$469.00	$469.00	$469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $398.65 / $469.00	Professional		$120.90	$398.65	$469.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,291.18 / $1,463.34 / $1,721.57	Professional		$1,291.18	$1,463.34	$1,721.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.13 / $713.40 / $1,088.55	Facility		$176.13	$713.40	$1,088.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,126.00 / $1,126.00 / $1,126.00	Professional		$1,126.00	$1,126.00	$1,126.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $116.11 / $176.13 / $1,451.40	Facility		$116.11	$176.13	$1,451.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $201.55 / $1,451.40	Professional		$116.11	$201.55	$1,451.40
United Facility/Professional Professional Modifier Low / Median / High Price $517.78 / $734.54 / $1,115.80	Professional		$517.78	$734.54	$1,115.80