Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.27 / $995.77 / $995.77	Facility		$824.27	$995.77	$995.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.27 / $995.77 / $1,282.10	Professional		$824.27	$995.77	$1,282.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,013.95 / $2,013.95 / $2,138.81	Facility		$2,013.95	$2,013.95	$2,138.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,226.58 / $1,226.58 / $1,606.99	Professional		$1,226.58	$1,226.58	$1,606.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,080.00 / $1,080.00 / $1,376.72	Professional		$1,080.00	$1,080.00	$1,376.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $1,544.16	Facility		$1,544.16	$1,544.16	$1,544.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,127.24 / $1,544.16	Professional		$1,127.24	$1,127.24	$1,544.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,409.77 / $1,812.56 / $2,416.73	Professional		$1,409.77	$1,812.56	$2,416.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $648.64 / $1,238.61 / $2,292.52	Facility		$648.64	$1,238.61	$2,292.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.00 / $2,517.44 / $3,354.58	Professional		$1,288.00	$2,517.44	$3,354.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,103.38 / $1,519.91 / $2,403.61	Facility		$1,103.38	$1,519.91	$2,403.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,103.38 / $1,519.91 / $2,403.61	Professional		$1,103.38	$1,519.91	$2,403.61
United Facility/Professional Professional Modifier Low / Median / High Price $908.10 / $1,004.74 / $1,513.50	Professional		$908.10	$1,004.74	$1,513.50