Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.39 / $1,421.39 / $1,436.52	Facility		$1,421.39	$1,421.39	$1,436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.59 / $1,421.39 / $1,481.52	Professional		$1,312.59	$1,421.39	$1,481.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,695.08 / $2,695.08 / $2,862.17	Facility		$2,695.08	$2,695.08	$2,862.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.71 / $1,487.71 / $1,919.21	Professional		$1,487.71	$1,487.71	$1,919.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,445.10 / $1,510.34 / $1,842.34	Professional		$1,445.10	$1,510.34	$1,842.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $1,786.24	Facility		$1,786.24	$1,786.24	$1,786.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,303.96 / $1,786.24	Professional		$1,303.96	$1,303.96	$1,786.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,886.56 / $2,425.57 / $3,234.10	Professional		$1,886.56	$2,425.57	$3,234.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $794.47 / $1,657.52 / $3,011.31	Facility		$794.47	$1,657.52	$3,011.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,031.48 / $3,539.99 / $4,489.12	Professional		$2,031.48	$3,539.99	$4,489.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,476.55 / $2,071.90 / $3,443.13	Facility		$1,476.55	$2,071.90	$3,443.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,476.55 / $2,071.90 / $3,443.13	Professional		$1,476.55	$2,071.90	$3,443.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.61 / $1,344.55 / $1,928.92	Professional		$1,230.61	$1,344.55	$1,928.92