Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.06 / $137.88 / $152.38	Facility		$116.06	$137.88	$152.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $57.56 / $77.78	Professional		$51.33	$57.56	$77.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $54.45 / $66.64	Professional		$41.20	$54.45	$66.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $48.48 / $100.66	Facility		$25.23	$48.48	$100.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $48.32 / $132.19	Professional		$25.23	$48.32	$132.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $97.23 / $116.67	Professional		$77.78	$97.23	$116.67
United Facility/Professional Facility Modifier Low / Median / High Price $32.67 / $32.67 / $32.67	Facility		$32.67	$32.67	$32.67
United Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $35.00 / $50.56	Professional		$22.13	$35.00	$50.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $38.89 / $61.84	Professional		$30.33	$38.89	$61.84