Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.10 / $289.27 / $449.40	Facility		$42.10	$289.27	$449.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $24.56 / $41.97	Professional		$18.60	$24.56	$41.97
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 / $42.11 / $66.95	Professional		$35.09	$42.11	$66.95
United Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $20.60 / $31.93	Professional		$15.44	$20.60	$31.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $34.45 / $34.45	Professional		$17.55	$34.45	$34.45