Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $134.90 / $194.98	Facility		$28.18	$134.90	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $93.33	Professional		$20.89	$34.67	$93.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $27.54 / $37.15	Professional		$7.41	$27.54	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $48.98	Facility		$33.88	$33.88	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $63.10	Professional		$23.99	$32.36	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $50.12	Professional		$32.36	$37.15	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $16.22 / $27.54	Facility		$6.03	$16.22	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $54.95	Professional		$22.39	$30.90	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.02 / $51.29	Professional		$21.88	$38.02	$51.29