Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $112.20	Facility		$83.18	$85.11	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $56.23	Professional		$38.02	$43.65	$56.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $40.74 / $46.77	Professional		$16.22	$40.74	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $35.48 / $66.07	Facility		$26.92	$35.48	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $263.03	Professional		$25.70	$38.02	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $77.62	Professional		$51.29	$56.23	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $24.55 / $75.86	Facility		$16.98	$24.55	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $46.77	Professional		$22.91	$30.20	$46.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $50.12 / $77.62	Professional		$19.95	$50.12	$77.62