Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.41 / $817.41 / $826.12	Facility		$817.41	$817.41	$826.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.85 / $817.41 / $906.88	Professional		$754.85	$817.41	$906.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.90 / $1,549.90 / $1,645.99	Facility		$1,549.90	$1,549.90	$1,645.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.08 / $954.08 / $1,192.69	Professional		$954.08	$954.08	$1,192.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $865.24 / $865.24 / $1,059.50	Professional		$865.24	$865.24	$1,059.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.52 / $950.52 / $950.52	Facility		$950.52	$950.52	$950.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.88 / $693.88 / $950.52	Professional		$693.88	$693.88	$950.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.93 / $1,394.91 / $1,859.88	Professional		$1,084.93	$1,394.91	$1,859.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $953.21 / $1,738.99	Facility		$457.00	$953.21	$1,738.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $2,035.79 / $2,581.62	Professional		$893.00	$2,035.79	$2,581.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $849.14 / $1,173.16 / $1,895.16	Facility		$849.14	$1,173.16	$1,895.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $849.14 / $1,173.16 / $1,895.16	Professional		$849.14	$1,173.16	$1,895.16
United Facility/Professional Professional Modifier Low / Median / High Price $707.89 / $773.22 / $1,109.28	Professional		$707.89	$773.22	$1,109.28