Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $89.55 / $110.64	Facility		$38.29	$89.55	$110.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $22.39 / $43.95	Professional		$19.70	$22.39	$43.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $27.56 / $44.20	Professional		$24.18	$27.56	$44.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $20.68 / $38.63	Facility		$15.82	$20.68	$38.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $31.71 / $48.76	Professional		$15.82	$31.71	$48.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $37.31 / $44.78	Professional		$29.85	$37.31	$44.78
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $17.91 / $27.16	Professional		$12.54	$17.91	$27.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $14.93 / $29.30	Professional		$11.64	$14.93	$29.30