Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,578.62 / $3,139.08	Facility		$1,323.35	$1,578.62	$3,139.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,336.58 / $1,471.91	Professional		$1,323.35	$1,336.58	$1,471.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $2,739.33 / $4,327.35	Facility		$1,323.35	$2,739.33	$4,327.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,773.81	Professional		$1,323.35	$1,323.35	$1,773.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,376.78 / $1,376.78	Professional		$1,323.35	$1,376.78	$1,376.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,248.44 / $1,248.44 / $1,323.35	Facility		$1,248.44	$1,248.44	$1,323.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,323.35	Professional		$1,323.35	$1,323.35	$1,323.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,124.84 / $1,323.35 / $2,220.30	Professional		$1,124.84	$1,323.35	$2,220.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $963.19 / $1,471.91 / $2,325.36	Facility		$963.19	$1,471.91	$2,325.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,363.85 / $2,019.00 / $2,751.00	Professional		$1,363.85	$2,019.00	$2,751.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,521.85 / $1,985.03	Facility		$1,323.35	$1,521.85	$1,985.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,521.85 / $1,985.03	Professional		$1,323.35	$1,521.85	$1,985.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,402.75 / $1,561.56	Professional		$1,323.35	$1,402.75	$1,561.56