Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.63 / $83.40 / $99.90	Facility		$55.63	$83.40	$99.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $30.77 / $39.26	Professional		$29.45	$30.77	$39.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $31.41 / $50.32	Professional		$28.27	$31.41	$50.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $25.80 / $50.81	Facility		$20.81	$25.80	$50.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $36.06 / $56.27	Professional		$20.81	$36.06	$56.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $49.08 / $58.89	Professional		$39.26	$49.08	$58.89
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $20.82 / $29.84	Professional		$16.48	$20.82	$29.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $33.31 / $33.31	Professional		$16.76	$33.31	$33.31