Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $273.32 / $484.80	Facility		$31.42	$273.32	$484.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $26.32 / $40.99	Professional		$22.81	$26.32	$40.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $31.58 / $41.68	Professional		$28.07	$31.58	$41.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $27.67 / $86.11	Professional		$19.30	$27.67	$86.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $43.86 / $66.95	Professional		$35.09	$43.86	$66.95
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.60 / $31.93	Professional		$14.74	$20.60	$31.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $34.45 / $34.45	Professional		$17.55	$34.45	$34.45