Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.32 / $1,596.24 / $1,596.24	Facility		$1,321.32	$1,596.24	$1,596.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,321.32 / $1,596.24 / $1,987.95	Professional		$1,321.32	$1,596.24	$1,987.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,228.39 / $3,228.39 / $3,428.55	Facility		$3,228.39	$3,228.39	$3,428.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,966.25 / $1,966.25 / $2,458.00	Professional		$1,966.25	$1,966.25	$2,458.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,731.00 / $1,731.00 / $2,206.90	Professional		$1,731.00	$1,731.00	$2,206.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $2,017.28	Facility		$2,017.28	$2,017.28	$2,017.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $1,472.61 / $2,017.28	Professional		$1,472.61	$1,472.61	$2,017.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,259.87 / $2,905.55 / $3,874.07	Professional		$2,259.87	$2,905.55	$3,874.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,039.78 / $1,937.58 / $3,674.96	Facility		$1,039.78	$1,937.58	$3,674.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,210.00 / $4,035.49 / $5,377.45	Professional		$2,210.00	$4,035.49	$5,377.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $2,436.44 / $3,853.01	Facility		$1,768.74	$2,436.44	$3,853.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,768.74 / $2,436.44 / $3,853.01	Professional		$1,768.74	$2,436.44	$3,853.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,455.70 / $1,610.60 / $2,426.16	Professional		$1,455.70	$1,610.60	$2,426.16