Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $201.33 / $415.72	Facility		$30.89	$201.33	$415.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $30.88 / $38.86	Professional		$22.13	$30.88	$38.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $33.51 / $42.56	Professional		$28.00	$33.51	$42.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $32.89 / $103.01	Professional		$22.97	$32.89	$103.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $52.20 / $62.64	Professional		$41.76	$52.20	$62.64
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $19.48 / $38.00	Professional		$16.64	$19.48	$38.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $40.98 / $40.98	Professional		$20.88	$40.98	$40.98