Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.80 / $129.16 / $238.31	Facility		$100.80	$129.16	$238.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $30.25 / $30.71	Professional		$25.06	$30.25	$30.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $33.29 / $50.32	Professional		$27.43	$33.29	$50.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.95 / $23.44 / $43.82	Facility		$17.95	$23.44	$43.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $35.97 / $55.29	Professional		$17.95	$35.97	$55.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $42.33 / $50.79	Professional		$33.86	$42.33	$50.79
United Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $20.32 / $28.60	Professional		$15.24	$20.32	$28.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $16.93 / $33.24	Professional		$13.21	$16.93	$33.24