Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,819.70	Professional		$912.01	$1,122.02	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,290.87	Facility		$2,137.96	$2,137.96	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,691.53	Professional		$1,288.25	$1,288.25	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,479.11	Professional		$1,174.90	$1,174.90	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,202.26	Facility		$912.01	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,202.26	Professional		$891.25	$891.25	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $3,019.95	Professional		$1,513.56	$2,137.96	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,137.96	Professional		$1,096.48	$1,412.54	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $2,691.53	Facility		$912.01	$1,548.82	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,691.53	Professional		$1,148.15	$1,412.54	$2,691.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $4,466.84	Facility		$1,148.15	$1,778.28	$4,466.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $4,466.84	Professional		$1,148.15	$1,778.28	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,445.44 / $3,090.30	Facility		$724.44	$1,445.44	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,584.89	Professional		$954.99	$1,047.13	$1,584.89