Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.13 / $93.24 / $154.91	Facility		$49.13	$93.24	$154.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $26.41 / $31.83	Professional		$22.02	$26.41	$31.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $35.09 / $44.92	Professional		$31.58	$35.09	$44.92
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 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 $14.74 / $20.11 / $31.58	Professional		$14.74	$20.11	$31.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $34.45 / $34.45	Professional		$17.55	$34.45	$34.45