Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $104.71	Professional		$28.84	$38.02	$104.71
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $85.11 / $87.10 / $102.33	Professional	22	$85.11	$87.10	$102.33
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.50 / $38.90 / $83.18	Professional	52	$19.50	$38.90	$83.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $51.29	Professional		$32.36	$35.48	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $36.31 / $95.50	Facility		$34.67	$36.31	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $70.79	Professional		$28.84	$40.74	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $67.61	Professional		$31.62	$39.81	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $63.10	Professional		$26.92	$38.02	$63.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.81 / $57.54	Professional		$27.54	$39.81	$57.54