Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $116.85 / $157.82	Facility		$28.19	$116.85	$157.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $31.10 / $78.66	Professional		$26.87	$31.10	$78.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $36.97 / $42.25	Professional		$30.16	$36.97	$42.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $33.86	Facility		$33.86	$33.86	$33.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $33.79 / $63.79	Professional		$24.96	$33.79	$63.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $38.36 / $55.34	Professional		$32.63	$38.36	$55.34
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $29.67 / $52.89	Professional		$22.54	$29.67	$52.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $35.53 / $46.26	Professional		$22.00	$35.53	$46.26