Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.97 / $935.97 / $945.94	Facility		$935.97	$935.97	$945.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.65 / $935.97 / $1,155.41	Professional		$854.65	$935.97	$1,155.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,774.70 / $1,774.70 / $1,884.73	Facility		$1,774.70	$1,774.70	$1,884.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,084.21 / $1,084.21 / $1,391.97	Professional		$1,084.21	$1,084.21	$1,391.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $952.00 / $1,213.17	Professional		$952.00	$952.00	$1,213.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,530.70 / $1,530.70 / $1,530.70	Facility		$1,530.70	$1,530.70	$1,530.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $1,185.80	Professional		$1,117.41	$1,117.41	$1,185.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,242.29 / $1,597.23 / $2,129.64	Professional		$1,242.29	$1,597.23	$2,129.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $571.58 / $1,091.47 / $2,020.19	Facility		$571.58	$1,091.47	$2,020.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $998.00 / $2,331.07 / $2,956.07	Professional		$998.00	$2,331.07	$2,956.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $972.30 / $1,339.35 / $2,118.07	Facility		$972.30	$1,339.35	$2,118.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $972.30 / $1,339.35 / $2,118.07	Professional		$972.30	$1,339.35	$2,118.07
United Facility/Professional Professional Modifier Low / Median / High Price $825.15 / $885.38 / $1,364.34	Professional		$825.15	$885.38	$1,364.34