Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $136.10 / $251.09	Facility		$53.42	$136.10	$251.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $52.57 / $54.14	Professional		$47.65	$52.57	$54.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $64.97 / $88.36	Professional		$54.62	$64.97	$88.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.26 / $47.45 / $93.42	Facility		$38.26	$47.45	$93.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $68.79 / $103.77	Professional		$32.86	$68.79	$103.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $90.24 / $108.29	Professional		$72.19	$90.24	$108.29
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $34.29 / $70.02	Professional		$30.32	$34.29	$70.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $36.10 / $62.95	Professional		$28.15	$36.10	$62.95