Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.12 / $1,563.12 / $1,579.75	Facility		$1,563.12	$1,563.12	$1,579.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,406.34 / $1,563.12 / $1,661.72	Professional		$1,406.34	$1,563.12	$1,661.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,963.80 / $2,963.80 / $3,147.56	Facility		$2,963.80	$2,963.80	$3,147.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,715.30 / $1,715.30 / $2,227.23	Professional		$1,715.30	$1,715.30	$2,227.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,589.00 / $1,589.00 / $2,026.04	Professional		$1,589.00	$1,589.00	$2,026.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $2,050.41	Facility		$2,050.41	$2,050.41	$2,050.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $1,980.33	Professional		$1,496.80	$1,496.80	$1,980.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,074.66 / $2,667.42 / $3,556.56	Professional		$2,074.66	$2,667.42	$3,556.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $919.83 / $1,822.78 / $3,373.77	Facility		$919.83	$1,822.78	$3,373.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,606.00 / $3,892.97 / $4,936.72	Professional		$1,606.00	$3,892.97	$4,936.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,623.78 / $2,227.31 / $3,537.24	Facility		$1,623.78	$2,227.31	$3,537.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,623.78 / $2,227.31 / $3,537.24	Professional		$1,623.78	$2,227.31	$3,537.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,341.17 / $1,478.61 / $2,195.59	Professional		$1,341.17	$1,478.61	$2,195.59