Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $55.32 / $98.56	Facility		$19.97	$55.32	$98.56
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $46.98 / $78.34 / $135.28	Facility	CQ	$46.98	$78.34	$135.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $20.10 / $40.09	Professional		$14.70	$20.10	$40.09
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $46.44 / $46.44 / $68.56	Professional	CQ	$46.44	$46.44	$68.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $17.50 / $24.30	Professional		$13.68	$17.50	$24.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $23.02 / $60.50	Professional		$20.65	$23.02	$60.50
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 $20.99 / $34.97 / $108.10	Professional		$20.99	$34.97	$108.10
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 $19.57 / $25.87 / $45.23	Facility		$19.57	$25.87	$45.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $40.00 / $56.00	Professional		$35.00	$40.00	$56.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $29.97 / $67.76	Facility		$19.10	$29.97	$67.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $29.97 / $67.76	Professional		$19.10	$29.97	$67.76
United Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $28.52 / $36.35	Professional		$20.05	$28.52	$36.35