Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $2,192.69 / $16,643.72	Facility		$1,045.15	$2,192.69	$16,643.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,097.41 / $1,097.41	Professional		$1,045.15	$1,097.41	$1,097.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $2,205.27 / $3,553.51	Facility		$1,045.15	$2,205.27	$3,553.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,445.06 / $1,644.37 / $2,481.51	Professional		$1,445.06	$1,644.37	$2,481.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $985.99 / $985.99 / $1,045.15	Facility		$985.99	$985.99	$1,045.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $888.38 / $1,254.18 / $1,584.00	Professional		$888.38	$1,254.18	$1,584.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $2,272.16	Facility		$1,045.15	$1,045.15	$2,272.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $992.89 / $1,264.63 / $1,504.80	Facility		$992.89	$1,264.63	$1,504.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $992.89 / $1,264.63 / $1,504.80	Professional		$992.89	$1,264.63	$1,504.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,043.55 / $1,721.86 / $2,765.41	Facility		$1,043.55	$1,721.86	$2,765.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.27 / $1,045.15 / $1,311.66	Professional		$1,028.27	$1,045.15	$1,311.66