Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $77.62 / $512.86	Facility		$75.86	$77.62	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $45.71	Professional		$14.13	$19.95	$45.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.38 / $23.44	Professional		$19.05	$21.38	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $81.28 / $151.36	Facility		$30.20	$81.28	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $46.77	Professional		$19.05	$28.18	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $36.31	Professional		$21.38	$25.70	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.70 / $44.67	Professional		$13.80	$25.70	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $37.15	Professional		$25.12	$33.11	$37.15