Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $107.15	Facility		$56.23	$81.28	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $109.65	Professional		$29.51	$30.90	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $31.62 / $36.31	Professional		$10.23	$31.62	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.70 / $51.29	Facility		$20.89	$25.70	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $117.49	Professional		$20.89	$26.30	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $58.88	Professional		$38.90	$43.65	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $18.62 / $60.26	Facility		$13.80	$18.62	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $35.48	Professional		$17.78	$20.89	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11