Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $630.96 / $660.69	Facility		$30.20	$630.96	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $79.43 / $851.14	Professional		$30.20	$79.43	$851.14
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $2,511.89 / $3,090.30	Professional	AA	$616.60	$2,511.89	$3,090.30
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $371.54 / $549.54	Professional	QX	$269.15	$371.54	$549.54
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $295.12 / $309.03 / $489.78	Professional	QY	$295.12	$309.03	$489.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $436.52 / $436.52 / $436.52	Professional	QZ	$436.52	$436.52	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.47 / $5.50	Professional		$3.02	$3.47	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $501.19	Professional		$229.09	$363.08	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $457.09	Professional		$251.19	$426.58	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $100.00	Professional		$45.71	$67.61	$100.00