Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $67.61	Facility		$57.54	$57.54	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $60.26	Professional		$39.81	$46.77	$60.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $72.44	Professional		$50.12	$54.95	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $109.65	Professional		$45.71	$67.61	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $75.86	Professional		$35.48	$52.48	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $93.33	Facility		$52.48	$67.61	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $104.71	Professional		$44.67	$64.57	$104.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $95.50	Professional		$52.48	$85.11	$95.50