Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.73 / $1,452.73 / $1,468.19	Facility		$1,452.73	$1,452.73	$1,468.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.68 / $1,452.73 / $1,654.37	Professional		$1,350.68	$1,452.73	$1,654.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.50 / $2,754.50 / $2,925.28	Facility		$2,754.50	$2,754.50	$2,925.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,722.19 / $1,722.19 / $2,156.23	Professional		$1,722.19	$1,722.19	$2,156.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,477.00 / $1,477.00 / $1,882.96	Professional		$1,477.00	$1,477.00	$1,882.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,472.39 / $2,084.13 / $2,084.13	Facility		$1,472.39	$2,084.13	$2,084.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $1,521.41 / $2,084.13	Professional		$1,521.41	$1,521.41	$2,084.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,928.15 / $2,479.05 / $3,305.40	Professional		$1,928.15	$2,479.05	$3,305.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $887.16 / $1,763.13 / $3,135.51	Facility		$887.16	$1,763.13	$3,135.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $3,618.04 / $4,588.10	Professional		$1,620.00	$3,618.04	$4,588.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,509.11 / $2,070.03 / $3,287.44	Facility		$1,509.11	$2,070.03	$3,287.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,509.11 / $2,070.03 / $3,287.44	Professional		$1,509.11	$2,070.03	$3,287.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,058.80 / $1,815.91 / $2,070.48	Facility		$1,058.80	$1,815.91	$2,070.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.33 / $1,374.19 / $2,117.59	Professional		$1,288.33	$1,374.19	$2,117.59