Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $70.79	Facility		$57.54	$57.54	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $69.18	Professional		$30.90	$46.77	$69.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $72.44	Professional		$48.98	$53.70	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $107.15	Professional		$33.88	$53.70	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $79.43	Professional		$35.48	$54.95	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $50.12 / $74.13	Facility		$28.18	$50.12	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $42.66 / $70.79	Professional		$27.54	$42.66	$70.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $107.15	Professional		$69.18	$95.50	$107.15