Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.92 / $107.31 / $187.67	Facility		$27.92	$107.31	$187.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $33.95 / $35.84	Professional		$27.92	$33.95	$35.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $34.82 / $55.76	Professional		$30.56	$34.82	$55.76
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 / $61.38	Professional		$20.00	$40.07	$61.38
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 $16.98 / $22.64 / $28.67	Professional		$16.98	$22.64	$28.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $18.87 / $37.03	Professional		$14.71	$18.87	$37.03