Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $158.50 / $455.04	Facility		$26.44	$158.50	$455.04
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $48.51 / $73.79 / $217.11	Facility	CQ	$48.51	$73.79	$217.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $24.02 / $51.82	Professional		$17.55	$24.02	$51.82
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $25.39 / $25.39 / $25.39	Professional	CO	$25.39	$25.39	$25.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $28.57 / $49.57 / $68.56	Professional	CQ	$28.57	$49.57	$68.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $20.78 / $28.81	Professional		$16.23	$20.78	$28.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $26.47 / $63.25	Professional		$24.58	$26.47	$63.25
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 $24.72 / $39.52 / $111.17	Professional		$24.72	$39.52	$111.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $34.18 / $42.10	Professional		$28.78	$34.18	$42.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.14 / $28.82 / $52.20	Facility		$22.14	$28.82	$52.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $47.00 / $65.00	Professional		$41.00	$47.00	$65.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $35.03 / $79.06	Facility		$22.21	$35.03	$79.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $35.03 / $79.06	Professional		$22.21	$35.03	$79.06
United Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $32.90 / $44.43	Professional		$23.31	$32.90	$44.43