Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $61.39 / $79.09	Facility		$54.19	$61.39	$79.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $23.92 / $24.28	Professional		$17.41	$23.92	$24.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $24.72 / $40.11	Professional		$21.70	$24.72	$40.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $18.54 / $34.67	Facility		$14.20	$18.54	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $28.45 / $43.54	Professional		$14.20	$28.45	$43.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $33.49 / $40.19	Professional		$26.79	$33.49	$40.19
United Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $16.07 / $20.36	Professional		$12.06	$16.07	$20.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $13.40 / $26.30	Professional		$10.45	$13.40	$26.30