Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $371.54 / $416.87	Facility		$199.53	$371.54	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $69.18	Professional		$21.88	$34.67	$69.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $37.15	Professional		$25.12	$33.88	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $83.18	Professional		$22.91	$33.11	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $63.10	Professional		$41.69	$50.12	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $31.62	Facility		$17.38	$17.38	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $37.15	Professional		$16.60	$18.62	$37.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $40.74 / $40.74	Professional		$20.89	$40.74	$40.74