Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $57.30 / $57.30	Facility		$57.30	$57.30	$57.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $21.81 / $30.93	Professional		$19.19	$21.81	$30.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $23.26 / $37.40	Professional		$20.94	$23.26	$37.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $19.11 / $37.63	Facility		$15.41	$19.11	$37.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $26.62 / $41.82	Professional		$15.41	$26.62	$41.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $36.35 / $43.62	Professional		$29.08	$36.35	$43.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $15.37 / $26.46	Professional		$12.21	$15.37	$26.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $14.54 / $24.59	Professional		$11.34	$14.54	$24.59