Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.83 / $303.83 / $446.80	Facility		$303.83	$303.83	$446.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $27.89 / $28.93	Professional		$21.40	$27.89	$28.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $27.00 / $36.72	Professional		$24.30	$27.00	$36.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $25.35 / $49.91	Facility		$20.44	$25.35	$49.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $36.71 / $55.24	Professional		$20.44	$36.71	$55.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $48.21 / $57.86	Professional		$38.57	$48.21	$57.86
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $17.36 / $29.31	Professional		$16.20	$17.36	$29.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $19.29 / $30.66	Professional		$15.04	$19.29	$30.66