Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $111.16 / $187.67	Facility		$94.41	$111.16	$187.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $33.95 / $34.21	Professional		$27.60	$33.95	$34.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $40.97 / $65.95	Professional		$33.96	$40.97	$65.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $26.12 / $48.82	Facility		$20.00	$26.12	$48.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $40.07 / $132.19	Professional		$20.00	$40.07	$132.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $47.16 / $56.60	Professional		$37.72	$47.16	$56.60
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.29 / $28.67	Professional		$15.85	$22.29	$28.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $18.87 / $37.03	Professional		$14.71	$18.87	$37.03