Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $43.65 / $199.53	Facility		$26.92	$43.65	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $162.18	Professional		$26.92	$33.88	$162.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $29.51 / $33.88	Professional		$11.22	$29.51	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.12 / $47.86	Facility		$19.50	$25.12	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $128.82	Professional		$19.50	$28.18	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $70.79	Professional		$36.31	$39.81	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.38 / $41.69	Facility		$15.49	$17.38	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $41.69	Professional		$16.60	$21.88	$41.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $35.48 / $54.95	Professional		$14.13	$35.48	$54.95