Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.83 / $1,473.83 / $1,473.83	Facility		$1,473.83	$1,473.83	$1,473.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.13 / $1,473.83 / $1,942.86	Professional		$1,221.13	$1,473.83	$1,942.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,450.28 / $2,450.28 / $2,450.28	Facility		$2,450.28	$2,450.28	$2,450.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,965.62 / $1,965.62 / $1,965.62	Professional		$1,965.62	$1,965.62	$1,965.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,959.42 / $1,959.42 / $1,959.42	Professional		$1,959.42	$1,959.42	$1,959.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.06 / $1,772.06 / $2,061.35	Facility		$1,772.06	$1,772.06	$2,061.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.25 / $1,772.06 / $2,111.63	Professional		$1,506.25	$1,772.06	$2,111.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,800.22 / $2,040.25 / $2,856.35	Professional		$1,800.22	$2,040.25	$2,856.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,447.86 / $1,603.89 / $2,400.29	Facility		$1,447.86	$1,603.89	$2,400.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,476.59 / $2,476.59 / $2,476.59	Professional		$2,476.59	$2,476.59	$2,476.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $167.03 / $294.83 / $2,358.66	Facility		$167.03	$294.83	$2,358.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $294.83 / $2,358.66	Professional		$167.03	$294.83	$2,358.66
United Facility/Professional Facility Modifier Low / Median / High Price $109.53 / $884.53 / $1,791.25	Facility		$109.53	$884.53	$1,791.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,179.35 / $1,347.67 / $2,087.85	Professional		$1,179.35	$1,347.67	$2,087.85