Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $109.86 / $156.01	Facility		$55.08	$109.86	$156.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.03 / $25.85	Professional		$18.27	$25.03	$25.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $25.93 / $41.48	Professional		$22.76	$25.93	$41.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $19.46 / $36.36	Facility		$14.89	$19.46	$36.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $29.85 / $45.71	Professional		$14.89	$29.85	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $35.13 / $42.15	Professional		$28.10	$35.13	$42.15
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $16.48 / $18.92	Professional		$11.80	$16.48	$18.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.05 / $27.58	Professional		$10.96	$14.05	$27.58