Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.88 / $1,505.88 / $1,521.92	Facility		$1,505.88	$1,505.88	$1,521.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.88 / $1,505.88 / $1,774.19	Professional		$1,505.88	$1,505.88	$1,774.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,855.29 / $2,855.29 / $3,032.32	Facility		$2,855.29	$2,855.29	$3,032.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,744.37 / $1,744.37 / $2,284.38	Professional		$1,744.37	$1,744.37	$2,284.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,531.00 / $1,531.00 / $1,951.86	Professional		$1,531.00	$1,531.00	$1,951.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $1,784.15	Facility		$1,784.15	$1,784.15	$1,784.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,302.43 / $1,784.15	Professional		$1,302.43	$1,302.43	$1,784.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,998.70 / $2,569.76 / $3,426.35	Professional		$1,998.70	$2,569.76	$3,426.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $919.62 / $1,811.08 / $3,250.25	Facility		$919.62	$1,811.08	$3,250.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,605.00 / $3,750.44 / $4,755.99	Professional		$1,605.00	$3,750.44	$4,755.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,564.33 / $2,154.87 / $3,407.73	Facility		$1,564.33	$2,154.87	$3,407.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,564.33 / $2,154.87 / $3,407.73	Professional		$1,564.33	$2,154.87	$3,407.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,327.58 / $1,424.47 / $2,195.07	Professional		$1,327.58	$1,424.47	$2,195.07