Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.75 / $96.23 / $281.13	Facility		$77.75	$96.23	$281.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $42.01 / $58.09	Professional		$28.99	$42.01	$58.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $37.03 / $45.35	Professional		$37.03	$37.03	$45.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $49.23	Facility		$39.86	$39.86	$49.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.89	Professional		$33.88	$33.88	$46.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $66.33 / $95.52	Professional		$46.43	$66.33	$95.52
United Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $33.10 / $52.48	Professional		$24.22	$33.10	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $42.33 / $56.38	Professional		$42.33	$42.33	$56.38