Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $121.92 / $224.97	Facility		$43.32	$121.92	$224.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $64.92 / $69.23	Professional		$19.09	$64.92	$69.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $23.48 / $38.08	Professional		$20.61	$23.48	$38.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.60 / $32.93	Facility		$13.49	$17.60	$32.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $27.03 / $41.36	Professional		$13.49	$27.03	$41.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $30.54 / $38.18	Professional		$24.18	$30.54	$38.18
United Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $10.69 / $10.69	Facility		$10.69	$10.69	$10.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $14.77 / $19.34	Professional		$10.69	$14.77	$19.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $12.73 / $24.98	Professional		$9.93	$12.73	$24.98