Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.34 / $65.70 / $190.66	Facility		$46.34	$65.70	$190.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $33.58 / $34.94	Professional		$28.25	$33.58	$34.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $35.65 / $57.12	Professional		$31.28	$35.65	$57.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $26.76 / $49.65	Facility		$20.47	$26.76	$49.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $41.03 / $63.13	Professional		$20.47	$41.03	$63.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $48.28 / $57.93	Professional		$38.61	$48.28	$57.93
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.17 / $35.14	Professional		$17.38	$23.17	$35.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $19.30 / $37.90	Professional		$15.06	$19.30	$37.90