Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.34 / $96.40 / $433.84	Facility		$40.34	$96.40	$433.84
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $137.00 / $137.00 / $137.00	Facility	CO	$137.00	$137.00	$137.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $79.63 / $174.44 / $485.10	Facility	CQ	$79.63	$174.44	$485.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $34.01 / $358.00	Professional		$17.79	$34.01	$358.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $41.10 / $54.47 / $456.94	Professional	CO	$41.10	$54.47	$456.94
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $27.07 / $39.81 / $302.83	Professional	CQ	$27.07	$39.81	$302.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $26.59 / $42.50	Professional		$23.36	$26.59	$42.50
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 $25.89 / $52.24 / $111.17	Professional		$25.89	$52.24	$111.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $39.33 / $56.24	Professional		$32.90	$39.33	$56.24
United Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $40.42 / $48.81	Professional		$24.93	$40.42	$48.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $42.04 / $52.64	Professional		$29.54	$42.04	$52.64