Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $107.15 / $263.03	Facility		$95.50	$107.15	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $51.29	Professional		$26.92	$33.88	$51.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $30.20 / $40.74	Professional		$13.49	$30.20	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.30 / $48.98	Facility		$19.95	$26.30	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $131.83	Professional		$19.95	$39.81	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $56.23	Professional		$38.02	$41.69	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $17.78 / $28.84	Facility		$15.85	$17.78	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $34.67	Professional		$16.98	$22.39	$34.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $37.15 / $56.23	Professional		$14.79	$37.15	$56.23