Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $92.94 / $106.04	Facility		$57.12	$92.94	$106.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $26.61 / $28.09	Professional		$20.45	$26.61	$28.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $28.59 / $46.24	Professional		$25.09	$28.59	$46.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $21.44 / $40.10	Facility		$16.42	$21.44	$40.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $32.90 / $50.50	Professional		$16.42	$32.90	$50.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $38.72 / $46.47	Professional		$30.98	$38.72	$46.47
United Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $18.59 / $28.19	Professional		$13.94	$18.59	$28.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $15.49 / $30.41	Professional		$12.08	$15.49	$30.41