Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $45.71	Professional		$44.67	$44.67	$45.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $45.71 / $46.77	Facility		$30.90	$45.71	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $64.57	Professional		$23.44	$30.90	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $67.61	Professional		$42.66	$47.86	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $29.51 / $46.77	Facility		$19.05	$29.51	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $46.77	Professional		$25.12	$26.92	$46.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $45.71 / $45.71	Professional		$17.78	$45.71	$45.71