Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $44.56 / $166.00	Professional		$35.13	$44.56	$166.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.05 / $20.63 / $22.47	Professional	52	$17.05	$20.63	$22.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $50.90 / $54.75	Professional		$29.00	$50.90	$54.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $48.10 / $78.59	Professional		$32.74	$48.10	$78.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $58.24 / $83.85	Professional		$43.04	$58.24	$83.85
United Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $33.33 / $61.05	Professional		$23.36	$33.33	$61.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $64.31 / $71.45	Professional		$55.90	$64.31	$71.45