Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $361.00 / $729.98	Facility		$194.38	$361.00	$729.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $62.56 / $147.38	Professional		$25.67	$62.56	$147.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $31.58 / $41.68	Professional		$29.83	$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 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