Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.38 / $44.84	Professional		$14.40	$19.38	$44.84
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.46 / $17.46 / $17.46	Professional	CQ	$17.46	$17.46	$17.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $21.28 / $24.17	Professional		$17.52	$21.28	$24.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $42.53 / $106.98	Professional		$21.51	$42.53	$106.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $33.94 / $47.25	Professional		$28.35	$33.94	$47.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $30.98 / $42.16	Professional		$18.76	$30.98	$42.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $36.22 / $45.27	Professional		$25.40	$36.22	$45.27