Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.80 / $509.80 / $509.80	Facility		$509.80	$509.80	$509.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $42.68 / $60.33	Professional		$21.57	$42.68	$60.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $24.31 / $38.65	Professional		$24.31	$24.31	$38.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $52.00 / $90.53	Professional		$23.35	$52.00	$90.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $62.55 / $87.03	Professional		$46.84	$62.55	$87.03
United Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $51.68 / $83.87	Professional		$25.78	$51.68	$83.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $47.08 / $77.44	Professional		$28.91	$47.08	$77.44