Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.39 / $78.13 / $84.62	Facility		$75.39	$78.13	$84.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $20.00 / $30.81	Professional		$15.71	$20.00	$30.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $16.73 / $20.60	Professional		$12.19	$16.73	$20.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $82.00 / $188.49	Facility		$30.22	$82.00	$188.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $28.34 / $49.55	Professional		$19.32	$28.34	$49.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $26.70 / $37.36	Professional		$22.42	$26.70	$37.36
United Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $29.30 / $52.33	Professional		$19.89	$29.30	$52.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $28.65 / $35.89	Professional		$20.14	$28.65	$35.89