Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.59 / $53.59 / $803.60	Facility		$53.59	$53.59	$803.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $22.16 / $95.41	Professional		$16.82	$22.16	$95.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $23.52 / $38.08	Professional		$20.64	$23.52	$38.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $17.64 / $32.97	Facility		$13.50	$17.64	$32.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $27.06 / $41.36	Professional		$13.50	$27.06	$41.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $31.85 / $38.22	Professional		$25.48	$31.85	$38.22
United Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $15.29 / $21.00	Professional		$11.47	$15.29	$21.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $12.74 / $25.01	Professional		$9.94	$12.74	$25.01