Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $141.25 / $257.04	Facility		$72.44	$141.25	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $173.78	Professional		$28.18	$54.95	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.12 / $30.90	Professional		$22.39	$25.12	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $89.13	Professional		$28.18	$44.67	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $83.18	Professional		$48.98	$56.23	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $38.90 / $47.86	Facility		$27.54	$38.90	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $74.13	Professional		$25.70	$39.81	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $69.18	Professional		$37.15	$56.23	$69.18