Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $109.65 / $5,370.32	Facility		$54.95	$109.65	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $79.43	Professional		$46.77	$54.95	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $83.18	Facility		$54.95	$54.95	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $83.18	Professional		$54.95	$61.66	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $72.44	Professional		$54.95	$72.44	$72.44