Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.37 / $789.31 / $789.31	Facility		$653.37	$789.31	$789.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.37 / $789.31 / $932.90	Professional		$653.37	$789.31	$932.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,596.38 / $1,596.38 / $1,695.36	Facility		$1,596.38	$1,596.38	$1,695.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.78 / $970.78 / $1,248.34	Professional		$970.78	$970.78	$1,248.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $891.20 / $891.20 / $1,091.28	Professional		$891.20	$891.20	$1,091.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $1,030.36	Facility		$1,030.36	$1,030.36	$1,030.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $752.17	Professional		$752.17	$752.17	$752.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,117.47 / $1,436.74 / $1,915.66	Professional		$1,117.47	$1,436.74	$1,915.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $514.15 / $981.80 / $1,791.16	Facility		$514.15	$981.80	$1,791.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,271.95 / $1,995.48 / $2,659.06	Professional		$1,271.95	$1,995.48	$2,659.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $874.61 / $1,204.77 / $1,905.25	Facility		$874.61	$1,204.77	$1,905.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $874.61 / $1,204.77 / $1,905.25	Professional		$874.61	$1,204.77	$1,905.25
United Facility/Professional Professional Modifier Low / Median / High Price $719.81 / $796.42 / $1,199.69	Professional		$719.81	$796.42	$1,199.69