Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,000.00 / $2,570.40	Facility		$831.76	$1,000.00	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,995.26	Professional		$831.76	$1,122.02	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,187.76	Facility		$2,041.74	$2,041.74	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,570.40	Professional		$1,230.27	$1,230.27	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,412.54	Professional		$1,071.52	$1,071.52	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $1,548.82	Facility		$1,000.00	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Professional		$1,122.02	$1,122.02	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,884.03	Professional		$1,445.44	$2,041.74	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $2,041.74	Professional		$1,258.93	$1,348.96	$2,041.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,479.11 / $2,818.38	Facility		$831.76	$1,479.11	$2,818.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $2,570.40	Professional		$1,096.48	$1,202.26	$2,570.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $4,265.80	Facility		$1,096.48	$1,659.59	$4,265.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $4,265.80	Professional		$1,096.48	$1,659.59	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,000.00 / $2,754.23	Facility		$676.08	$1,000.00	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,621.81	Professional		$933.25	$1,000.00	$1,621.81