Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $281.84 / $912.01	Facility		$151.36	$281.84	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $36.31	Professional		$18.20	$21.88	$36.31
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $38.02 / $38.02 / $38.02	Professional	CQ	$38.02	$38.02	$38.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $30.20	Professional		$25.12	$27.54	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $181.97	Facility		$72.44	$72.44	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $51.29	Professional		$21.88	$29.51	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $46.77	Professional		$28.18	$33.11	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $39.81	Professional		$22.39	$33.88	$39.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $50.12	Professional		$32.36	$42.66	$50.12