Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.45 / $57.37 / $217.27	Facility		$42.45	$57.37	$217.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $36.94 / $38.43	Professional		$34.57	$36.94	$38.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $43.03 / $49.05	Professional		$26.04	$43.03	$49.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $31.42 / $61.87	Facility		$25.34	$31.42	$61.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $43.14 / $68.66	Professional		$25.34	$43.14	$68.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $59.76 / $71.72	Professional		$47.81	$59.76	$71.72
United Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $28.69 / $38.45	Professional		$21.00	$28.69	$38.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $23.91 / $46.92	Professional		$18.64	$23.91	$46.92