Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $89.13 / $1,071.52	Facility		$33.88	$89.13	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $60.26 / $95.50	Professional		$25.12	$60.26	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $32.36	Professional		$21.38	$23.44	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $74.13 / $128.82	Professional		$27.54	$74.13	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $120.23 / $162.18	Professional		$34.67	$120.23	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $48.98 / $74.13	Facility		$20.42	$48.98	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $63.10 / $120.23	Professional		$24.55	$63.10	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $120.23 / $165.96	Professional		$26.30	$120.23	$165.96