Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.58 / $316.58 / $316.58	Facility		$316.58	$316.58	$316.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.77 / $125.07	Professional		$32.36	$36.77	$125.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $45.25 / $73.44	Professional		$39.71	$45.25	$73.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $33.94 / $63.45	Facility		$25.99	$33.94	$63.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $52.08 / $79.67	Professional		$25.99	$52.08	$79.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $61.29 / $73.55	Professional		$49.03	$61.29	$73.55
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $29.42 / $39.71	Professional		$22.06	$29.42	$39.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $24.52 / $48.12	Professional		$19.12	$24.52	$48.12