Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $165.96 / $288.40	Facility		$69.18	$165.96	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $72.44	Professional		$32.36	$40.74	$72.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $47.86	Professional		$35.48	$38.90	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $83.18	Professional		$23.99	$33.88	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $66.07	Professional		$43.65	$52.48	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $33.11	Facility		$18.20	$18.20	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $38.90	Professional		$18.20	$25.12	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $42.66 / $42.66	Professional		$21.88	$42.66	$42.66