Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $42.66 / $147.91	Facility		$41.69	$42.66	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $85.11	Professional		$41.69	$41.69	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.84 / $29.51	Facility		$22.39	$28.84	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $41.69 / $60.26	Professional		$21.38	$41.69	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $63.10	Professional		$39.81	$44.67	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $27.54 / $41.69	Facility		$17.78	$27.54	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $41.69	Professional		$17.78	$20.89	$41.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $41.69 / $41.69	Professional		$16.60	$41.69	$41.69