Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $120.96 / $125.75	Facility		$19.22	$120.96	$125.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $37.04 / $58.56	Professional		$30.66	$37.04	$58.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $51.21	Professional		$40.00	$40.00	$51.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $69.00	Facility		$46.70	$46.70	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $34.09 / $46.70	Professional		$34.09	$34.09	$46.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $74.91 / $107.87	Professional		$52.44	$74.91	$107.87
United Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $37.36 / $59.57	Professional		$28.66	$37.36	$59.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $39.17 / $52.44	Professional		$39.17	$39.17	$52.44