Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.43 / $205.99 / $428.41	Facility		$56.43	$205.99	$428.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $19.78 / $65.18	Professional		$12.10	$19.78	$65.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $13.94 / $25.22	Professional		$12.55	$13.94	$25.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $18.41 / $56.00	Facility		$18.41	$18.41	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $23.62 / $50.36	Professional		$15.98	$23.62	$50.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $15.93 / $24.73	Professional		$12.35	$15.93	$24.73
United Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $97.00	Facility		$53.00	$53.00	$97.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $19.37 / $31.09	Professional		$10.24	$19.37	$31.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $14.20 / $17.52	Professional		$11.54	$14.20	$17.52