Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.06 / $91.18 / $475.80	Facility		$26.06	$91.18	$475.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $13.77 / $24.88	Professional		$10.34	$13.77	$24.88
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $12.35 / $12.35 / $12.35	Professional	CO	$12.35	$12.35	$12.35
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $12.70 / $12.70 / $17.45	Professional	CQ	$12.70	$12.70	$17.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $15.23 / $18.12	Professional		$13.71	$15.23	$18.12
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 $12.69 / $22.69 / $108.10	Professional		$12.69	$22.69	$108.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $19.55 / $27.54	Professional		$16.52	$19.55	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $19.89 / $28.07	Professional		$14.07	$19.89	$28.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $21.11 / $26.55	Professional		$14.91	$21.11	$26.55