Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $16.22 / $29.51	Facility		$8.91	$16.22	$29.51
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $51.29 / $70.79 / $138.04	Facility	CQ	$51.29	$70.79	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $23.99	Professional		$7.94	$10.00	$23.99
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.94 / $23.99 / $26.30	Professional	CQ	$7.94	$23.99	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $20.89	Professional		$11.22	$15.14	$20.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $47.86 / $66.07	Professional		$12.59	$47.86	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	CQ	$16.60	$16.60	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $17.78	Professional		$12.59	$14.79	$17.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $16.22	Professional		$15.85	$15.85	$16.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $11.48 / $19.05	Facility		$8.51	$11.48	$19.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.49 / $7,413.10	Facility		$9.55	$15.49	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.49 / $7,413.10	Professional		$9.55	$15.49	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.80 / $13.80	Facility		$13.49	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.13 / $24.55	Professional		$9.77	$14.13	$24.55