Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $100.94 / $234.38	Facility		$55.74	$100.94	$234.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $69.52 / $133.16	Professional		$55.74	$69.52	$133.16
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $94.11 / $94.11 / $94.11	Professional	CQ	$94.11	$94.11	$94.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $78.95 / $108.19	Professional		$61.56	$78.95	$108.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $78.73 / $165.00	Professional		$76.08	$78.73	$165.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $75.00 / $202.81	Facility		$72.00	$75.00	$202.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $84.35 / $126.31	Professional		$61.97	$84.35	$126.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $104.57 / $128.78	Professional		$88.06	$104.57	$128.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $85.45 / $121.23	Facility		$55.74	$85.45	$121.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.00 / $176.65	Professional		$100.00	$112.00	$176.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.41 / $97.49 / $183.86	Facility		$67.41	$97.49	$183.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $97.49 / $183.86	Professional		$67.41	$97.49	$183.86
United Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $86.62 / $118.05	Professional		$64.45	$86.62	$118.05