Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $617.47 / $736.25	Facility		$32.09	$617.47	$736.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $63.06 / $63.06	Professional		$38.89	$63.06	$63.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $32.09 / $63.06	Professional		$32.09	$32.09	$63.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $80.31	Professional		$63.06	$63.06	$80.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $252.73	Professional		$63.06	$63.06	$252.73
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $70.20 / $82.61	Professional		$63.06	$70.20	$82.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88