Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $43.89 / $155.00	Professional		$33.56	$43.89	$155.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.25 / $20.14 / $21.95	Professional	52	$17.25	$20.14	$21.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $51.39 / $53.96	Professional		$24.74	$51.39	$53.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $46.41 / $77.83	Professional		$29.56	$46.41	$77.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $54.36 / $81.17	Professional		$41.85	$54.36	$81.17
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $32.90 / $59.69	Professional		$19.32	$32.90	$59.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $62.53 / $69.48	Professional		$54.36	$62.53	$69.48