Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $25.70 / $457.09	Facility		$8.32	$25.70	$457.09
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $52.48 / $316.23 / $812.83	Facility	CQ	$52.48	$316.23	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $25.70	Professional		$7.08	$10.00	$25.70
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $6.46 / $8.71 / $28.84	Professional	CQ	$6.46	$8.71	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $18.62	Professional		$9.55	$12.88	$18.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $70.79	Professional		$11.75	$15.14	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $72.44 / $204.17	Facility		$19.50	$72.44	$204.17
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	CQ	$16.60	$16.60	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $23.44	Professional		$8.71	$13.18	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $15.85	Professional		$10.72	$12.59	$15.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $19.95	Professional		$15.49	$19.50	$19.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $12.88 / $27.54	Facility		$7.94	$12.88	$27.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.60 / $57.54	Facility		$11.22	$16.60	$57.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.60 / $57.54	Professional		$11.22	$16.60	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.18 / $13.18	Facility		$12.02	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $21.38	Professional		$10.00	$12.59	$21.38