Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.82 / $101.82 / $101.82	Facility		$101.82	$101.82	$101.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $25.46 / $31.23	Professional		$22.40	$25.46	$31.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $31.34 / $50.32	Professional		$27.49	$31.34	$50.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $23.49 / $43.93	Facility		$17.98	$23.49	$43.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $36.06 / $55.29	Professional		$17.98	$36.06	$55.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $42.43 / $50.91	Professional		$33.94	$42.43	$50.91
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.05 / $25.79	Professional		$14.25	$20.05	$25.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.97 / $33.31	Professional		$13.24	$16.97	$33.31