Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.68 / $88.13 / $258.52	Facility		$59.68	$88.13	$258.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.36 / $39.04	Professional		$19.50	$23.36	$39.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $24.46 / $29.95	Professional		$24.46	$24.46	$29.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $35.00 / $35.00	Facility		$28.00	$35.00	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $35.00	Professional		$25.55	$25.55	$35.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $43.82 / $63.10	Professional		$30.67	$43.82	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $22.62 / $34.67	Professional		$20.50	$22.62	$34.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $29.62 / $32.40	Professional		$29.62	$29.62	$32.40