Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $204.17 / $354.81	Facility		$34.67	$204.17	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $57.54	Professional		$34.67	$42.66	$57.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $37.15 / $43.65	Professional		$14.13	$37.15	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $32.36 / $60.26	Facility		$25.12	$32.36	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $165.96	Professional		$25.12	$36.31	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $91.20	Professional		$46.77	$51.29	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.39 / $35.48	Facility		$19.95	$22.39	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $42.66	Professional		$21.38	$28.18	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $45.71 / $70.79	Professional		$18.20	$45.71	$70.79