Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $43.88 / $198.33	Facility		$27.05	$43.88	$198.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $31.65 / $33.17	Professional		$24.14	$31.65	$33.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $33.76 / $54.40	Professional		$29.62	$33.76	$54.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $25.31 / $47.32	Facility		$19.38	$25.31	$47.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $38.84 / $59.64	Professional		$19.38	$38.84	$59.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $45.71 / $54.86	Professional		$36.57	$45.71	$54.86
United Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $15.36 / $15.36	Facility		$15.36	$15.36	$15.36
United Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $21.94 / $33.28	Professional		$16.46	$21.94	$33.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $18.29 / $35.89	Professional		$14.26	$18.29	$35.89