Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $288.00 / $518.10	Facility		$30.00	$288.00	$518.10
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $429.00 / $429.00 / $429.00	Facility	AA	$429.00	$429.00	$429.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $151.15 / $511.20 / $561.15	Professional	AA	$151.15	$511.20	$561.15
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $227.66 / $305.33 / $436.01	Professional	QK	$227.66	$305.33	$436.01
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $226.80 / $289.04 / $427.46	Professional	QX	$226.80	$289.04	$427.46
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $262.60 / $292.25 / $556.44	Professional	QY	$262.60	$292.25	$556.44
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $352.89 / $539.83 / $669.21	Professional	QZ	$352.89	$539.83	$669.21
Anthem BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $450.00 / $463.00 / $463.00	Professional	AA	$450.00	$463.00	$463.00
Anthem BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $450.00 / $463.00 / $463.00	Professional	QZ	$450.00	$463.00	$463.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $426.00 / $540.00	Professional		$252.00	$426.00	$540.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $2,460.00 / $3,184.32	Facility		$48.03	$2,460.00	$3,184.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $64.00 / $92.88	Facility		$23.16	$64.00	$92.88
United Facility/Professional Professional Modifier AA Low / Median / High Price $75.00 / $75.00 / $75.00	Professional	AA	$75.00	$75.00	$75.00