Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $165.96 / $549.54	Facility		$53.70	$165.96	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $87.10	Professional		$20.89	$28.18	$87.10
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	CQ	$204.17	$204.17	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $37.15	Professional		$30.20	$33.11	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $181.97	Facility		$72.44	$72.44	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $64.57	Professional		$25.70	$36.31	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $54.95	Professional		$33.11	$39.81	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $50.12	Professional		$28.18	$40.74	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $57.54	Professional		$38.90	$50.12	$57.54