Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $213.80 / $223.87	Facility		$144.54	$213.80	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $33.88	Professional		$19.95	$25.12	$33.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $24.55 / $28.18	Professional		$7.59	$24.55	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.42 / $39.81	Facility		$15.85	$20.42	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $79.43	Professional		$15.85	$24.55	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $46.77	Professional		$30.90	$33.88	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.88 / $23.44	Facility		$8.32	$12.88	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $28.18	Professional		$12.88	$14.45	$28.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $24.55 / $46.77	Professional		$12.02	$24.55	$46.77