Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $4,165.22 / $4,721.18	Facility		$28.62	$4,165.22	$4,721.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.27 / $1,103.43	Professional		$27.99	$28.27	$1,103.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.62 / $28.62	Professional		$27.99	$28.62	$28.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $18.97 / $82.36	Facility		$18.97	$18.97	$82.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $30.14	Professional		$27.99	$27.99	$30.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $27.99 / $87.20	Professional		$23.79	$27.99	$87.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $31.16 / $33.97	Professional		$27.99	$31.16	$33.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $38.64	Professional		$18.97	$18.97	$38.64