Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $194.02 / $194.02	Facility		$72.20	$194.02	$194.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $45.23	Professional		$45.22	$45.23	$45.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $45.23 / $45.23	Professional		$45.23	$45.23	$45.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $45.91 / $46.27	Facility		$30.76	$45.91	$46.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $43.18 / $65.05	Professional		$23.36	$43.18	$65.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $56.60 / $67.92	Professional		$45.28	$56.60	$67.92
United Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $27.14 / $46.13	Professional		$22.64	$27.14	$46.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $22.64 / $45.23	Professional		$17.66	$22.64	$45.23