Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,035.49 / $2,035.49 / $2,057.17	Facility		$2,035.49	$2,035.49	$2,057.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.67 / $2,035.49 / $2,488.92	Professional		$1,807.67	$2,035.49	$2,488.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,859.48 / $3,859.48 / $4,098.77	Facility		$3,859.48	$3,859.48	$4,098.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,335.56 / $2,335.56 / $2,950.95	Professional		$2,335.56	$2,335.56	$2,950.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,069.00 / $2,069.00 / $2,638.31	Professional		$2,069.00	$2,069.00	$2,638.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $3,297.39	Facility		$3,297.39	$3,297.39	$3,297.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $2,407.09 / $3,297.39	Professional		$2,407.09	$2,407.09	$3,297.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,701.64 / $3,473.53 / $4,631.38	Professional		$2,701.64	$3,473.53	$4,631.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,231.29 / $2,373.63 / $4,393.34	Facility		$1,231.29	$2,373.63	$4,393.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,377.00 / $5,069.43 / $6,428.64	Professional		$2,377.00	$5,069.43	$6,428.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,114.48 / $2,912.70 / $4,606.20	Facility		$2,114.48	$2,912.70	$4,606.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,114.48 / $2,912.70 / $4,606.20	Professional		$2,114.48	$2,912.70	$4,606.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,805.15 / $1,925.45 / $2,939.00	Professional		$1,805.15	$1,925.45	$2,939.00