Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $478.63 / $537.03	Facility		$44.67	$478.63	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $645.65	Professional		$33.11	$47.86	$645.65
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $616.60 / $1,023.29	Professional	AA	$389.05	$616.60	$1,023.29
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $295.12 / $346.74 / $537.03	Professional	QX	$295.12	$346.74	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $295.12 / $309.03 / $489.78	Professional	QY	$295.12	$309.03	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $457.09	Professional		$144.54	$269.15	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $512.86	Professional		$251.19	$354.81	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $97.72	Professional		$41.69	$66.07	$97.72