Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.48 / $77.56 / $133.97	Facility		$31.48	$77.56	$133.97
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $65.17 / $89.17 / $192.47	Facility	CQ	$65.17	$89.17	$192.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $21.76 / $121.00	Professional		$14.40	$21.76	$121.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $18.44 / $21.66 / $587.05	Professional	CQ	$18.44	$21.66	$587.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $20.65 / $23.02	Professional		$18.59	$20.65	$23.02
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 $20.66 / $41.56 / $106.98	Professional		$20.66	$41.56	$106.98
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 $20.35 / $31.42 / $37.97	Professional		$20.35	$31.42	$37.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $34.79 / $43.77	Professional		$24.57	$34.79	$43.77