Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.56 / $75.00 / $202.08	Facility		$65.56	$75.00	$202.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $60.62 / $75.00	Professional		$57.28	$60.62	$75.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $62.18 / $100.64	Professional		$54.56	$62.18	$100.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $46.62 / $86.58	Facility		$35.70	$46.62	$86.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $71.55 / $109.71	Professional		$35.70	$71.55	$109.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $84.20 / $101.04	Professional		$67.36	$84.20	$101.04
United Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $40.07 / $74.09	Professional		$30.31	$40.07	$74.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $33.68 / $66.11	Professional		$26.27	$33.68	$66.11