Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $89.62 / $191.40	Facility		$68.81	$89.62	$191.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $58.29 / $80.93	Professional		$40.64	$58.29	$80.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $49.63 / $62.86	Professional		$26.20	$49.63	$62.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $36.47 / $101.93	Facility		$18.98	$36.47	$101.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $35.99 / $99.35	Professional		$19.48	$35.99	$99.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $94.52 / $118.16	Professional		$74.83	$94.52	$118.16
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $35.45 / $48.21	Professional		$16.64	$35.45	$48.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $39.39 / $62.62	Professional		$30.72	$39.39	$62.62