Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $123.03 / $363.08	Facility		$26.30	$123.03	$363.08
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $66.07 / $95.50 / $302.00	Facility	CQ	$66.07	$95.50	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $36.31 / $154.88	Professional		$19.95	$36.31	$154.88
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $21.38 / $24.55 / $26.92	Professional	CO	$21.38	$24.55	$26.92
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $22.91 / $40.74 / $70.79	Professional	CQ	$22.91	$40.74	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $33.11	Professional		$17.78	$22.91	$33.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $75.86	Professional		$24.55	$31.62	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $72.44 / $204.17	Facility		$52.48	$72.44	$204.17
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	CQ	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $52.48	Professional		$22.91	$30.20	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $42.66	Professional		$28.84	$34.67	$42.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $40.74	Professional		$33.11	$39.81	$40.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $50.12	Facility		$21.38	$30.90	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.90 / $144.54	Facility		$22.39	$38.90	$144.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $144.54	Professional		$22.39	$38.90	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $36.31 / $36.31	Facility		$32.36	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $42.66	Professional		$23.44	$32.36	$42.66