Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $89.13	Professional		$23.44	$34.67	$89.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $36.31	Professional		$23.99	$26.30	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $67.61	Professional		$23.99	$33.88	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $38.02	Professional		$21.88	$26.92	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $47.86	Professional		$22.91	$30.90	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $38.90	Professional		$22.91	$26.92	$38.90