Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $363.08 / $537.03	Facility		$30.20	$363.08	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $588.84	Professional		$30.20	$47.86	$588.84
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $2,041.74 / $2,818.38	Professional	AA	$389.05	$2,041.74	$2,818.38
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $371.54 / $549.54	Professional	QX	$269.15	$371.54	$549.54
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $295.12 / $309.03 / $489.78	Professional	QY	$295.12	$309.03	$489.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	QZ	$363.08	$363.08	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $616.60	Professional		$407.38	$407.38	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.13 / $5.50	Professional		$3.80	$5.13	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $457.09	Professional		$223.87	$338.84	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $512.86	Professional		$309.03	$426.58	$512.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $4,786.30	Facility		$2,041.74	$2,511.89	$4,786.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $64.57 / $100.00	Facility		$23.44	$64.57	$100.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $64.57 / $100.00	Professional		$23.44	$64.57	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $83.18	Professional		$44.67	$60.26	$83.18