Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $144.54	Facility		$77.62	$114.82	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $104.71	Professional		$61.66	$77.62	$104.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $77.62 / $91.20	Professional		$21.38	$77.62	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $44.67	Facility		$23.44	$23.44	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $223.87	Professional		$45.71	$83.18	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $147.91	Professional		$97.72	$107.15	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $46.77 / $346.74	Facility		$41.69	$46.77	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $91.20	Professional		$38.02	$46.77	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $77.62 / $147.91	Professional		$38.02	$77.62	$147.91