Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.47 / $161.60 / $579.86	Facility		$88.47	$161.60	$579.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.84 / $40.88	Professional		$19.00	$24.84	$40.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $20.70 / $31.28	Professional		$18.63	$20.70	$31.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $23.49 / $45.18	Facility		$20.14	$23.49	$45.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $29.61 / $58.85	Professional		$21.53	$29.61	$58.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $54.43 / $63.29	Professional		$42.19	$54.43	$63.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $23.30 / $34.64	Professional		$17.61	$23.30	$34.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $17.36 / $17.57	Professional		$13.70	$17.36	$17.57