Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $281.84	Facility		$21.38	$21.38	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $57.54	Professional		$26.92	$40.74	$57.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $45.71	Professional		$40.74	$40.74	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Facility		$39.81	$39.81	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.81	Professional		$33.88	$33.88	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $100.00	Professional		$46.77	$67.61	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.12 / $42.66	Facility		$19.05	$25.12	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $52.48	Professional		$27.54	$33.11	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $56.23	Professional		$39.81	$41.69	$56.23