Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.32 / $167.34 / $778.36	Facility		$54.32	$167.34	$778.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $29.03 / $54.63	Professional		$22.18	$29.03	$54.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $32.15 / $33.86	Professional		$28.94	$32.15	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $180.25 / $180.25	Facility		$72.00	$180.25	$180.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $54.94 / $111.17	Professional		$28.73	$54.94	$111.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $41.47 / $57.87	Professional		$34.72	$41.47	$57.87
United Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $40.95 / $52.70	Professional		$27.27	$40.95	$52.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $44.37 / $55.59	Professional		$31.19	$44.37	$55.59