Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.96 / $284.39 / $411.41	Facility		$205.96	$284.39	$411.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $25.97 / $40.99	Professional		$21.05	$25.97	$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 Facility Modifier Low / Median / High Price $14.74 / $14.74 / $14.74	Facility		$14.74	$14.74	$14.74
United Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $21.05 / $31.93	Professional		$15.44	$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