Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.41 / $52.41 / $52.41	Facility		$52.41	$52.41	$52.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $60.04 / $167.20	Professional		$42.28	$60.04	$167.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.72 / $68.72 / $70.62	Professional		$68.72	$68.72	$70.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $61.21	Facility		$60.32	$61.21	$61.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $44.68 / $61.21	Professional		$44.68	$44.68	$61.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $103.30 / $148.75	Professional		$72.31	$103.30	$148.75
United Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $51.53 / $82.14	Professional		$41.28	$51.53	$82.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $57.90 / $72.31	Professional		$27.76	$57.90	$72.31