Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $18.93 / $45.92	Facility		$9.27	$18.93	$45.92
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $12.42 / $51.35 / $138.32	Facility	CQ	$12.42	$51.35	$138.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $9.42 / $19.38	Professional		$8.00	$9.42	$19.38
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $24.24 / $24.24 / $26.46	Professional	CQ	$24.24	$24.24	$26.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $13.76 / $18.87	Professional		$10.52	$13.76	$18.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $17.20 / $61.24	Professional		$13.07	$17.20	$61.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $11.49 / $11.49 / $11.49	Facility	CQ	$11.49	$11.49	$11.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $102.55	Professional		$11.31	$11.31	$102.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $14.55 / $17.32	Professional		$13.17	$14.55	$17.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $11.34 / $16.98	Facility		$8.86	$11.34	$16.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $20.00 / $27.60	Professional		$18.00	$20.00	$27.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9.13 / $14.99 / $32.49	Facility		$9.13	$14.99	$32.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $14.99 / $32.49	Professional		$9.13	$14.99	$32.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $13.98 / $23.31	Professional		$9.69	$13.98	$23.31