Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,498.82 / $1,498.82	Facility		$1,427.45	$1,498.82	$1,498.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,498.82	Professional		$1,427.45	$1,427.45	$1,498.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,905.36	Professional		$1,427.45	$1,427.45	$1,905.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.65 / $1,346.65 / $1,427.45	Facility		$1,346.65	$1,346.65	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,213.33 / $1,427.45 / $1,575.92	Professional		$1,213.33	$1,427.45	$1,575.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,470.27 / $2,283.92	Facility		$1,427.45	$1,470.27	$2,283.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $2,569.00 / $2,569.00	Professional		$1,427.45	$2,569.00	$2,569.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,512.30 / $1,693.78 / $2,811.37	Facility		$1,512.30	$1,693.78	$2,811.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,512.30 / $1,693.78 / $2,811.37	Professional		$1,512.30	$1,693.78	$2,811.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,575.92 / $2,288.69 / $2,288.69	Facility		$1,575.92	$2,288.69	$2,288.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,523.09	Professional		$1,427.45	$1,427.45	$1,523.09