Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.72 / $1,521.72 / $1,537.91	Facility		$1,521.72	$1,521.72	$1,537.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,414.82 / $1,521.72 / $1,732.93	Professional		$1,414.82	$1,521.72	$1,732.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,885.30 / $2,885.30 / $3,064.19	Facility		$2,885.30	$2,885.30	$3,064.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.40 / $1,748.40 / $2,303.92	Professional		$1,748.40	$1,748.40	$2,303.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,547.00 / $1,616.94 / $1,972.38	Professional		$1,547.00	$1,616.94	$1,972.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,542.30 / $2,289.62 / $2,289.62	Facility		$1,542.30	$2,289.62	$2,289.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $1,927.88	Professional		$1,671.42	$1,671.42	$1,927.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,019.71 / $2,596.77 / $3,462.36	Professional		$2,019.71	$2,596.77	$3,462.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $929.28 / $1,874.19 / $3,284.41	Facility		$929.28	$1,874.19	$3,284.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,622.00 / $3,789.85 / $4,805.97	Professional		$1,622.00	$3,789.85	$4,805.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,580.77 / $2,168.32 / $3,443.54	Facility		$1,580.77	$2,168.32	$3,443.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,580.77 / $2,168.32 / $3,443.54	Professional		$1,580.77	$2,168.32	$3,443.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.99 / $1,439.45 / $2,218.14	Professional		$1,300.99	$1,439.45	$2,218.14