Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.10 / $75.20 / $129.24	Facility		$52.10	$75.20	$129.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $22.10 / $30.87	Professional		$15.21	$22.10	$30.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $20.52 / $20.52	Professional		$20.52	$20.52	$20.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $22.13 / $22.13	Facility		$18.29	$22.13	$22.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $26.04	Professional		$18.80	$18.80	$26.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $32.09 / $46.98	Professional		$25.24	$32.09	$46.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $17.98 / $27.09	Professional		$12.95	$17.98	$27.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $21.92	Professional		$16.63	$16.63	$21.92