Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $2,398.83	Facility		$758.58	$933.25	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,584.89	Professional		$776.25	$933.25	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,041.74	Facility		$1,905.46	$1,905.46	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,344.23	Professional		$1,122.02	$1,122.02	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,318.26	Professional		$1,047.13	$1,047.13	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,047.13	Facility		$758.58	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,047.13	Professional		$758.58	$758.58	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,691.53	Professional		$1,348.96	$1,905.46	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,238.72	Facility		$851.14	$1,230.27	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,398.83	Professional		$1,023.29	$1,258.93	$2,398.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $2,630.27	Facility		$1,047.13	$1,548.82	$2,630.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $2,630.27	Professional		$1,047.13	$1,548.82	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $2,630.27	Facility		$562.34	$812.83	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,548.82	Professional		$831.76	$933.25	$1,548.82