Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $119.84 / $498.48	Facility		$34.79	$119.84	$498.48
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $104.23 / $284.00 / $400.99	Facility	CO	$104.23	$284.00	$400.99
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $60.02 / $128.96 / $615.04	Facility	CQ	$60.02	$128.96	$615.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $22.63 / $49.68	Professional		$16.55	$22.63	$49.68
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $68.56 / $68.56 / $137.12	Professional	CO	$68.56	$68.56	$137.12
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $24.41 / $57.01 / $174.05	Professional	CQ	$24.41	$57.01	$174.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.89 / $27.44	Professional		$15.56	$19.89	$27.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $66.00	Professional		$23.24	$23.24	$66.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $72.00 / $202.81	Facility		$70.00	$72.00	$202.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $37.04 / $111.17	Professional		$22.29	$37.04	$111.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $30.72 / $37.84	Professional		$25.87	$30.72	$37.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $27.10 / $48.32	Facility		$19.66	$27.10	$48.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $44.43 / $61.00	Professional		$37.54	$44.43	$61.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $32.59 / $68.55	Facility		$20.85	$32.59	$68.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $32.59 / $68.55	Professional		$20.85	$32.59	$68.55
United Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $30.58 / $39.20	Professional		$20.97	$30.58	$39.20