Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.67 / $168.34 / $321.00	Facility		$49.67	$168.34	$321.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $30.38 / $35.09	Professional		$22.81	$30.38	$35.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $31.58 / $40.42	Professional		$28.07	$31.58	$40.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $26.98 / $86.11	Professional		$19.30	$26.98	$86.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $66.95	Professional		$35.09	$42.11	$66.95
United Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $20.05 / $31.93	Professional		$15.79	$20.05	$31.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $34.45 / $34.45	Professional		$17.55	$34.45	$34.45