Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $1,089.75	Facility		$1,089.75	$1,089.75	$1,089.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.31 / $1,089.75 / $1,346.16	Professional		$763.31	$1,089.75	$1,346.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.26 / $846.26 / $846.26	Professional		$846.26	$846.26	$846.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,083.59 / $1,083.59 / $1,208.55	Professional		$1,083.59	$1,083.59	$1,208.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $1,232.30 / $1,232.30	Professional		$124.95	$1,232.30	$1,232.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,296.08 / $1,555.31 / $1,850.00	Professional		$1,296.08	$1,555.31	$1,850.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.79 / $715.86 / $1,089.75	Facility		$176.79	$715.86	$1,089.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,001.00 / $1,001.00 / $1,001.00	Professional		$1,001.00	$1,001.00	$1,001.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $116.24 / $176.31 / $1,453.00	Facility		$116.24	$176.31	$1,453.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $116.24 / $201.77 / $1,453.00	Professional		$116.24	$201.77	$1,453.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.41 / $732.58 / $1,036.88	Professional		$519.41	$732.58	$1,036.88