Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $124.78 / $292.92	Facility		$29.45	$124.78	$292.92
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $76.27 / $256.57 / $546.62	Facility	CO	$76.27	$256.57	$546.62
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $52.54 / $122.73 / $230.71	Facility	CQ	$52.54	$122.73	$230.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $26.21 / $57.72	Professional		$17.77	$26.21	$57.72
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 $29.45 / $51.38 / $68.56	Professional	CQ	$29.45	$51.38	$68.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.89 / $27.71	Professional		$15.56	$19.89	$27.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $29.16 / $71.50	Professional		$26.59	$29.16	$71.50
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 $25.81 / $43.60 / $111.17	Professional		$25.81	$43.60	$111.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $37.36 / $46.02	Professional		$31.46	$37.36	$46.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $31.59 / $57.73	Facility		$25.03	$31.59	$57.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $48.00 / $73.00	Professional		$41.00	$48.00	$73.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $37.28 / $92.60	Facility		$21.49	$37.28	$92.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $37.28 / $92.60	Professional		$21.49	$37.28	$92.60
United Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $36.38 / $48.27	Professional		$26.09	$36.38	$48.27