Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $630.00 / $666.00	Facility		$30.00	$630.00	$666.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $480.00	Professional		$30.00	$30.00	$480.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $72.70 / $72.70 / $72.70	Professional	QX	$72.70	$72.70	$72.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $400.15 / $499.35	Professional		$230.00	$400.15	$499.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.46 / $422.46 / $456.00	Professional		$422.46	$422.46	$456.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $70.00 / $111.59	Professional		$46.00	$70.00	$111.59