Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $34.47 / $34.47	Facility		$34.47	$34.47	$34.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.22 / $4,490.39	Professional		$33.88	$35.22	$4,490.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.47 / $34.47	Professional		$33.88	$34.47	$34.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $38.92 / $38.92	Facility		$38.92	$38.92	$38.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.95	Professional		$33.88	$33.88	$39.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $33.88 / $40.54	Professional		$28.80	$33.88	$40.54
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $35.74	Professional		$33.88	$33.88	$35.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $35.25 / $46.55	Professional		$35.25	$35.25	$46.55