Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $131.83 / $251.19	Facility		$53.70	$131.83	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $75.86	Professional		$50.12	$53.70	$75.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $57.54 / $66.07	Professional		$18.62	$57.54	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $47.86 / $93.33	Facility		$38.02	$47.86	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $371.54	Professional		$33.11	$42.66	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $107.15	Professional		$72.44	$79.43	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $30.20 / $72.44	Facility		$27.54	$30.20	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $72.44	Professional		$30.20	$33.88	$72.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $63.10 / $107.15	Professional		$28.18	$63.10	$107.15