Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $84.91 / $419.59	Facility		$21.10	$84.91	$419.59
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $28.45 / $68.33 / $278.33	Facility	CQ	$28.45	$68.33	$278.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $20.79 / $45.25	Professional		$15.53	$20.79	$45.25
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $68.56 / $68.56 / $68.56	Professional	CO	$68.56	$68.56	$68.56
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $34.75 / $52.99 / $68.56	Professional	CQ	$34.75	$52.99	$68.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $18.37 / $25.52	Professional		$14.36	$18.37	$25.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $21.85 / $60.50	Professional		$21.69	$21.85	$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 $20.66 / $34.35 / $111.17	Professional		$20.66	$34.35	$111.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $28.98 / $35.69	Professional		$24.40	$28.98	$35.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $26.00 / $45.10	Facility		$18.07	$26.00	$45.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $41.00 / $57.00	Professional		$35.18	$41.00	$57.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $30.24 / $66.67	Facility		$19.45	$30.24	$66.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $30.24 / $66.67	Professional		$19.45	$30.24	$66.67
United Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $28.12 / $36.65	Professional		$19.45	$28.12	$36.65