Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.37 / $75.37 / $115.93	Facility		$30.37	$75.37	$115.93
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $58.80 / $58.80 / $58.80	Facility	CO	$58.80	$58.80	$58.80
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $42.59 / $42.59 / $42.59	Facility	CQ	$42.59	$42.59	$42.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $26.73 / $298.00	Professional		$15.84	$26.73	$298.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $20.48 / $70.01 / $70.01	Professional	CO	$20.48	$70.01	$70.01
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $20.23 / $20.23 / $26.96	Professional	CQ	$20.23	$20.23	$26.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $30.53 / $38.77	Professional		$27.48	$30.53	$38.77
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 $25.08 / $47.28 / $108.10	Professional		$25.08	$47.28	$108.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $36.20 / $50.63	Professional		$29.70	$36.20	$50.63
United Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $35.59 / $42.96	Professional		$23.70	$35.59	$42.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $27.43 / $48.69	Professional		$27.33	$27.43	$48.69