Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.75 / $84.98 / $651.22	Facility		$32.75	$84.98	$651.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $86.10 / $247.26	Professional		$31.77	$86.10	$247.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.70 / $40.67 / $80.73	Professional	52	$15.70	$40.67	$80.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $36.65 / $52.04	Professional		$34.18	$36.65	$52.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.57 / $54.57 / $54.57	Facility		$54.57	$54.57	$54.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $86.01 / $180.36	Professional		$31.53	$86.01	$180.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $104.47 / $183.99	Professional		$78.55	$104.47	$183.99
United Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $98.38 / $151.38	Professional		$68.47	$98.38	$151.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $90.33 / $111.65	Professional		$69.55	$90.33	$111.65