Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $250.86 / $22,703.00	Facility		$223.58	$250.86	$22,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.21 / $250.86 / $438.21	Professional		$219.21	$250.86	$438.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34,836.00 / $44,154.00 / $47,864.00	Facility		$34,836.00	$44,154.00	$47,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.83 / $259.38 / $355.73	Professional		$202.83	$259.38	$355.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.08 / $350.80 / $916.00	Professional		$245.08	$350.80	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29,401.00 / $31,294.00 / $44,719.00	Facility		$29,401.00	$31,294.00	$44,719.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.87 / $290.10 / $550.82	Professional		$206.87	$290.10	$550.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.82 / $242.18 / $298.69	Professional		$201.82	$242.18	$298.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $284.52 / $409.82	Facility		$223.58	$284.52	$409.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $34.02 / $43.71 / $59.92	Facility	AS	$34.02	$43.71	$59.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $316.00 / $497.30	Professional		$272.00	$316.00	$497.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $216.31 / $284.39 / $1,683.00	Facility		$216.31	$284.39	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $216.31 / $284.39 / $1,683.00	Professional		$216.31	$284.39	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.58 / $279.38 / $449.97	Professional		$180.58	$279.38	$449.97