Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $63.17 / $199.43	Facility		$22.52	$63.17	$199.43
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $69.59 / $69.59 / $201.73	Facility	CO	$69.59	$69.59	$201.73
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $68.89 / $108.57 / $151.08	Facility	CQ	$68.89	$108.57	$151.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.30 / $48.98	Professional		$17.78	$24.30	$48.98
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 $56.53 / $56.53 / $68.56	Professional	CQ	$56.53	$56.53	$68.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $21.65 / $29.72	Professional		$16.93	$21.65	$29.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $30.53 / $66.00	Professional		$30.53	$30.53	$66.00
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 $24.64 / $41.05 / $111.17	Professional		$24.64	$41.05	$111.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $34.39 / $42.35	Professional		$28.96	$34.39	$42.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $29.64 / $52.58	Facility		$21.81	$29.64	$52.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $47.00 / $66.00	Professional		$41.00	$47.00	$66.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $35.01 / $72.33	Facility		$22.46	$35.01	$72.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $35.01 / $72.33	Professional		$22.46	$35.01	$72.33
United Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $33.03 / $42.33	Professional		$23.23	$33.03	$42.33