Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.73 / $73.20 / $159.22	Facility		$52.73	$73.20	$159.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.94 / $38.57	Professional		$20.89	$23.94	$38.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $22.41 / $33.65	Professional		$20.05	$22.41	$33.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $29.28 / $57.80	Facility		$15.23	$29.28	$57.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $21.70 / $47.25	Professional		$15.23	$21.70	$47.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $42.29 / $49.17	Professional		$32.78	$42.29	$49.17
United Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $22.23 / $30.64	Professional		$13.68	$22.23	$30.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $18.29 / $22.86	Professional		$17.82	$18.29	$22.86