Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.32 / $893.32 / $902.84	Facility		$893.32	$893.32	$902.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.41 / $893.32 / $902.84	Professional		$702.41	$893.32	$902.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,693.83 / $1,693.83 / $1,798.85	Facility		$1,693.83	$1,693.83	$1,798.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.90 / $902.90 / $1,154.17	Professional		$902.90	$902.90	$1,154.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $908.00 / $908.00 / $1,157.89	Professional		$908.00	$908.00	$1,157.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,232.20	Facility		$1,232.20	$1,232.20	$1,232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $899.51 / $1,232.20	Professional		$899.51	$899.51	$1,232.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.68 / $1,524.45 / $2,032.60	Professional		$1,185.68	$1,524.45	$2,032.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $1,041.72 / $1,900.48	Facility		$478.20	$1,041.72	$1,900.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $835.00 / $2,224.85 / $2,821.37	Professional		$835.00	$2,224.85	$2,821.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $927.99 / $1,278.31 / $2,021.54	Facility		$927.99	$1,278.31	$2,021.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $927.99 / $1,278.31 / $2,021.54	Professional		$927.99	$1,278.31	$2,021.54
United Facility/Professional Professional Modifier Low / Median / High Price $763.74 / $845.03 / $1,272.90	Professional		$763.74	$845.03	$1,272.90