Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.63 / $107.52 / $212.00	Facility		$62.63	$107.52	$212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $41.95 / $152.59	Professional		$25.62	$41.95	$152.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $25.37 / $27.91	Professional		$23.86	$25.37	$27.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $48.70 / $94.65	Professional		$29.06	$48.70	$94.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $58.04 / $76.61	Professional		$44.99	$58.04	$76.61
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $45.15 / $84.08	Professional		$30.96	$45.15	$84.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $51.74 / $63.82	Professional		$37.36	$51.74	$63.82