Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,445.44	Facility		$1,412.54	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,290.87	Professional		$1,174.90	$1,412.54	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,951.21	Facility		$2,754.23	$2,754.23	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,090.30	Professional		$1,479.11	$1,479.11	$3,090.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,905.46	Professional		$1,445.44	$1,445.44	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $1,778.28	Facility		$1,174.90	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,778.28	Professional		$1,318.26	$1,318.26	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $3,890.45	Professional		$1,905.46	$2,754.23	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $1,819.70	Professional		$1,380.38	$1,819.70	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $3,467.37	Facility		$1,174.90	$1,995.26	$3,467.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $1,778.28	Professional		$1,479.11	$1,659.59	$1,778.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $6,025.60	Facility		$1,479.11	$2,290.87	$6,025.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $6,025.60	Professional		$1,479.11	$2,290.87	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,862.09 / $3,981.07	Facility		$933.25	$1,862.09	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $2,041.74	Professional		$1,230.27	$1,348.96	$2,041.74