Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.82 / $1,113.82 / $1,125.68	Facility		$1,113.82	$1,113.82	$1,125.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.58 / $1,113.82 / $1,235.71	Professional		$1,028.58	$1,113.82	$1,235.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,111.91 / $2,111.91 / $2,242.85	Facility		$2,111.91	$2,111.91	$2,242.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.05 / $1,300.05 / $1,625.19	Professional		$1,300.05	$1,300.05	$1,625.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,178.99 / $1,178.99 / $1,443.69	Professional		$1,178.99	$1,178.99	$1,443.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $1,207.83	Facility		$1,207.83	$1,207.83	$1,207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $881.72 / $1,207.83	Professional		$881.72	$881.72	$1,207.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,478.34 / $1,900.72 / $2,534.29	Professional		$1,478.34	$1,900.72	$2,534.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $622.55 / $1,298.85 / $2,404.04	Facility		$622.55	$1,298.85	$2,404.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,223.00 / $2,774.01 / $3,517.76	Professional		$1,223.00	$2,774.01	$3,517.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,157.05 / $1,598.57 / $2,697.90	Facility		$1,157.05	$1,598.57	$2,697.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,157.05 / $1,598.57 / $2,697.90	Professional		$1,157.05	$1,598.57	$2,697.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $964.33 / $1,053.60 / $1,511.53	Professional		$964.33	$1,053.60	$1,511.53