Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.28 / $92.36 / $155.44	Facility		$34.28	$92.36	$155.44
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $88.96 / $97.24 / $221.94	Facility	CQ	$88.96	$97.24	$221.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $30.93 / $286.00	Professional		$16.32	$30.93	$286.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $25.39 / $25.39 / $25.39	Professional	CO	$25.39	$25.39	$25.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $23.17 / $48.63 / $1,719.53	Professional	CQ	$23.17	$48.63	$1,719.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $24.58 / $40.29	Professional		$22.35	$24.58	$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 $24.72 / $47.73 / $108.14	Professional		$24.72	$47.73	$108.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $35.97 / $51.06	Professional		$30.29	$35.97	$51.06
United Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $36.04 / $42.41	Professional		$24.08	$36.04	$42.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $38.71 / $48.69	Professional		$27.33	$38.71	$48.69