Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $199.53	Professional		$48.98	$64.57	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $102.33	Professional		$56.23	$61.66	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $275.42	Facility		$95.50	$95.50	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $251.19	Professional		$45.71	$83.18	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $128.82	Professional		$50.12	$56.23	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $138.04 / $218.78	Facility		$74.13	$138.04	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $194.98	Professional		$52.48	$85.11	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $77.62	Professional		$51.29	$60.26	$77.62