Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $287.30 / $807.07	Facility		$33.33	$287.30	$807.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $24.92 / $85.96	Professional		$15.84	$24.92	$85.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $26.59 / $31.50	Professional		$24.18	$26.59	$31.50
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 $23.55 / $38.72 / $108.10	Professional		$23.55	$38.72	$108.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $37.74 / $52.73	Professional		$31.64	$37.74	$52.73
United Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $36.51 / $43.86	Professional		$24.17	$36.51	$43.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $40.42 / $50.67	Professional		$28.44	$40.42	$50.67