Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.67 / $374.88 / $969.08	Facility		$278.67	$374.88	$969.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $38.26 / $68.13	Professional		$31.70	$38.26	$68.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $38.56 / $50.87	Professional		$34.27	$38.56	$50.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $33.69 / $105.43	Professional		$23.52	$33.69	$105.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $53.55 / $81.73	Professional		$42.84	$53.55	$81.73
United Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $25.70 / $38.56	Professional		$19.28	$25.70	$38.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $42.04 / $42.04	Professional		$21.42	$42.04	$42.04