Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $76.20 / $292.25	Facility		$31.55	$76.20	$292.25
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $58.64 / $95.28 / $327.79	Facility	CQ	$58.64	$95.28	$327.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $28.00 / $236.00	Professional		$17.67	$28.00	$236.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $30.69 / $30.69 / $43.99	Professional	CO	$30.69	$30.69	$43.99
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $22.10 / $47.90 / $267.23	Professional	CQ	$22.10	$47.90	$267.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $23.24 / $40.29	Professional		$20.92	$23.24	$40.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $180.25 / $180.25	Facility		$72.00	$180.25	$180.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $44.26 / $108.10	Professional		$22.41	$44.26	$108.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $32.34 / $45.39	Professional		$27.23	$32.34	$45.39
United Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $32.02 / $38.42	Professional		$21.95	$32.02	$38.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $34.79 / $43.77	Professional		$24.57	$34.79	$43.77