Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $14.80 / $21.21	Professional		$12.42	$14.80	$21.21
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $60.40 / $60.40 / $60.40	Professional	CQ	$60.40	$60.40	$60.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $16.02 / $22.19	Professional		$12.37	$16.02	$22.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $22.19 / $56.38	Professional		$21.84	$22.19	$56.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $27.31 / $111.17	Professional		$14.72	$27.31	$111.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.16 / $24.83	Professional		$16.98	$20.16	$24.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $30.00 / $48.00	Professional		$27.00	$30.00	$48.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $26.04 / $49.15	Professional		$18.32	$26.04	$49.15
United Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $21.15 / $32.40	Professional		$16.38	$21.15	$32.40