Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $394.33 / $716.60	Facility		$51.68	$394.33	$716.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $45.62 / $63.66	Professional		$21.05	$45.62	$63.66
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 / $21.05 / $31.93	Professional		$14.74	$21.05	$31.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $34.45 / $34.45	Professional		$17.55	$34.45	$34.45