Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.46 / $63.46 / $90.87	Facility		$63.46	$63.46	$90.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.16 / $10.30	Professional		$7.28	$10.16	$10.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $12.36 / $16.80	Professional		$11.12	$12.36	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $9.31 / $17.76	Facility		$7.28	$9.31	$17.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $12.96 / $22.64	Professional		$6.90	$12.96	$22.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $17.16 / $20.60	Professional		$13.73	$17.16	$20.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $7.87 / $12.49	Professional		$6.18	$7.87	$12.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $6.87 / $13.48	Professional		$5.35	$6.87	$13.48