Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,959.97 / $1,959.97 / $1,980.84	Facility		$1,959.97	$1,959.97	$1,980.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,809.95 / $1,959.97 / $2,042.88	Professional		$1,809.95	$1,959.97	$2,042.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,716.28 / $3,716.28 / $3,946.69	Facility		$3,716.28	$3,716.28	$3,946.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,068.50 / $2,068.50 / $2,646.44	Professional		$2,068.50	$2,068.50	$2,646.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,234.80 / $2,234.80 / $2,540.42	Professional		$2,234.80	$2,234.80	$2,540.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $2,463.07	Facility		$2,463.07	$2,463.07	$2,463.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $1,798.04 / $2,463.07	Professional		$1,798.04	$1,798.04	$2,463.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,601.40 / $3,344.65 / $4,459.54	Professional		$2,601.40	$3,344.65	$4,459.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,095.49 / $2,285.58 / $4,169.71	Facility		$1,095.49	$2,285.58	$4,169.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,142.00 / $4,881.35 / $6,190.12	Professional		$2,142.00	$4,881.35	$6,190.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,036.04 / $2,804.65 / $4,435.29	Facility		$2,036.04	$2,804.65	$4,435.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,036.04 / $2,804.65 / $4,435.29	Professional		$2,036.04	$2,804.65	$4,435.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.91 / $1,854.01 / $2,659.81	Professional		$1,696.91	$1,854.01	$2,659.81