Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.51 / $61.75 / $107.42	Facility		$21.51	$61.75	$107.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $58.26 / $103.73	Professional		$46.15	$58.26	$103.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $77.08	Professional		$60.00	$60.00	$77.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $73.06	Facility		$68.22	$68.22	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $68.22	Professional		$49.80	$49.80	$68.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $112.76 / $162.37	Professional		$78.93	$112.76	$162.37
United Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $56.26 / $89.67	Professional		$45.41	$56.26	$89.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $60.34 / $78.93	Professional		$49.50	$60.34	$78.93