Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $22.91 / $158.49	Facility		$8.91	$22.91	$158.49
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $15.14 / $354.81 / $891.25	Facility	CQ	$15.14	$354.81	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $23.44	Professional		$7.08	$10.00	$23.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $45.71 / $154.88	Professional		$11.75	$45.71	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $28.84	Professional		$13.18	$15.14	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.49 / $32.36	Professional		$9.33	$13.49	$32.36