Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,089.30	Professional		$1,380.38	$1,584.89	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,290.87	Professional		$1,905.46	$2,238.72	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,090.30	Professional		$1,949.84	$2,290.87	$3,090.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,819.70	Professional		$1,659.59	$1,659.59	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $2,691.53	Facility		$1,548.82	$1,621.81	$2,691.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $316.23 / $2,398.83	Facility		$169.82	$316.23	$2,398.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $2,398.83	Professional		$169.82	$316.23	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $812.83 / $1,698.24	Facility		$102.33	$812.83	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $2,137.96	Professional		$1,202.26	$1,348.96	$2,137.96