Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $173.78 / $181.97	Facility		$34.67	$173.78	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $100.00	Professional		$21.88	$31.62	$100.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $63.10	Professional		$25.12	$29.51	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $45.71	Professional		$10.96	$17.78	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $53.70	Professional		$34.67	$40.74	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $25.12	Facility		$13.80	$13.80	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $44.67	Professional		$18.62	$25.70	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $50.12	Professional		$28.84	$42.66	$50.12