Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $309.03 / $363.08	Facility		$302.00	$309.03	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $120.23	Professional		$29.51	$38.90	$120.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $40.74	Professional		$30.20	$33.11	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $74.13	Professional		$22.91	$28.84	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $64.57	Professional		$41.69	$50.12	$64.57
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 $17.38 / $21.38 / $37.15	Professional		$17.38	$21.38	$37.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $34.67	Professional		$20.89	$34.67	$34.67