Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.25 / $117.70 / $165.87	Facility		$97.25	$117.70	$165.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $23.87 / $24.28	Professional		$19.82	$23.87	$24.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $24.72 / $40.11	Professional		$21.69	$24.72	$40.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $18.54 / $34.65	Facility		$14.19	$18.54	$34.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $28.44 / $43.54	Professional		$14.19	$28.44	$43.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $33.47 / $40.17	Professional		$26.78	$33.47	$40.17
United Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Facility		$11.25	$11.25	$11.25
United Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $16.07 / $24.37	Professional		$12.05	$16.07	$24.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $13.39 / $26.28	Professional		$10.44	$13.39	$26.28