Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.21 / $52.21 / $106.20	Facility		$52.21	$52.21	$106.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $54.02 / $175.00	Professional		$42.98	$54.02	$175.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $71.79	Professional		$56.00	$56.00	$71.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $58.00	Facility		$56.94	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $58.00	Professional		$42.34	$42.34	$58.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $105.02 / $151.22	Professional		$73.51	$105.02	$151.22
United Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $52.40 / $83.52	Professional		$40.19	$52.40	$83.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $53.88 / $73.51	Professional		$40.50	$53.88	$73.51