Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $302.00	Facility		$114.82	$138.04	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $61.66 / $81.28	Professional		$33.11	$61.66	$81.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $61.66 / $72.44	Professional		$15.85	$61.66	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $48.98 / $100.00	Facility		$25.12	$48.98	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $131.83	Professional		$25.70	$39.81	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $117.49	Professional		$77.62	$85.11	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $32.36 / $58.88	Facility		$20.89	$32.36	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $58.88	Professional		$21.88	$34.67	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $61.66 / $117.49	Professional		$30.20	$61.66	$117.49