Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.63 / $827.63 / $836.44	Facility		$827.63	$827.63	$836.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.00 / $827.63 / $836.44	Professional		$745.00	$827.63	$836.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,569.26 / $1,569.26 / $1,666.55	Facility		$1,569.26	$1,569.26	$1,666.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.45 / $843.45 / $1,073.28	Professional		$843.45	$843.45	$1,073.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $841.00 / $841.00 / $1,072.74	Professional		$841.00	$841.00	$1,072.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,105.99	Facility		$1,105.99	$1,105.99	$1,105.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $807.37 / $1,105.99	Professional		$807.37	$807.37	$1,105.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,098.48 / $1,412.33 / $1,883.11	Professional		$1,098.48	$1,412.33	$1,883.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $444.65 / $965.14 / $1,760.74	Facility		$444.65	$965.14	$1,760.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $2,061.23 / $2,613.89	Professional		$824.00	$2,061.23	$2,613.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $859.76 / $1,184.32 / $1,872.88	Facility		$859.76	$1,184.32	$1,872.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $859.76 / $1,184.32 / $1,872.88	Professional		$859.76	$1,184.32	$1,872.88
United Facility/Professional Professional Modifier Low / Median / High Price $707.59 / $782.89 / $1,179.32	Professional		$707.59	$782.89	$1,179.32