Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $642.39 / $845.62	Facility		$24.42	$642.39	$845.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.55 / $37.88	Professional		$20.35	$20.55	$37.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $28.27 / $28.27	Professional		$20.35	$28.27	$28.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $46.35 / $161.15	Facility		$46.35	$46.35	$161.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $25.91	Professional		$20.35	$20.35	$25.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $20.35 / $193.53	Professional		$17.30	$20.35	$193.53
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $22.65 / $24.83	Professional		$20.35	$22.65	$24.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $46.35 / $46.35	Professional		$23.40	$46.35	$46.35