Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $53.40 / $236.91	Facility		$53.40	$53.40	$236.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $73.69	Professional		$57.51	$57.51	$73.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $53.40 / $57.51	Professional		$53.40	$53.40	$57.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $67.81	Professional		$57.51	$57.51	$67.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $57.51 / $65.48	Professional		$48.88	$57.51	$65.48
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $60.67	Professional		$57.51	$57.51	$60.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $50.95 / $75.34	Professional		$50.95	$50.95	$75.34