Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.55 / $990.07 / $990.07	Facility		$819.55	$990.07	$990.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.55 / $990.07 / $1,077.92	Professional		$819.55	$990.07	$1,077.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,002.40 / $2,002.40 / $2,126.55	Facility		$2,002.40	$2,002.40	$2,126.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,137.16 / $1,137.16 / $1,500.32	Professional		$1,137.16	$1,137.16	$1,500.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,074.00 / $1,074.00 / $1,368.83	Professional		$1,074.00	$1,074.00	$1,368.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $1,179.41	Facility		$1,179.41	$1,179.41	$1,179.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $860.97 / $1,179.41	Professional		$860.97	$860.97	$1,179.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,401.68 / $1,802.16 / $2,402.88	Professional		$1,401.68	$1,802.16	$2,402.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $607.91 / $1,231.51 / $2,248.07	Facility		$607.91	$1,231.51	$2,248.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,278.00 / $2,503.00 / $3,335.36	Professional		$1,278.00	$2,503.00	$3,335.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,097.06 / $1,511.20 / $2,389.84	Facility		$1,097.06	$1,511.20	$2,389.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,097.06 / $1,511.20 / $2,389.84	Professional		$1,097.06	$1,511.20	$2,389.84
United Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $998.98 / $1,504.81	Professional		$855.00	$998.98	$1,504.81