Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $74.13 / $154.88	Facility		$38.02	$74.13	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $144.54	Professional		$37.15	$53.70	$144.54
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	CQ	$45.71	$45.71	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $83.18	Professional		$43.65	$58.88	$83.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $109.65	Professional		$51.29	$60.26	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $79.43 / $234.42	Facility		$72.44	$79.43	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $102.33	Professional		$40.74	$57.54	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $89.13	Professional		$60.26	$72.44	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $56.23 / $87.10	Facility		$38.02	$56.23	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $69.18 / $251.19	Facility		$45.71	$69.18	$251.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $251.19	Professional		$45.71	$69.18	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $74.13 / $74.13	Facility		$67.61	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $79.43	Professional		$43.65	$57.54	$79.43