Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $245.47 / $245.47	Facility		$52.48	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $41.69	Professional		$19.95	$32.36	$41.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $38.90	Professional		$31.62	$34.67	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $64.57	Professional		$43.65	$50.12	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $33.11	Facility		$18.20	$18.20	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.50 / $35.48	Professional		$18.20	$19.50	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88