Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.82 / $90.82 / $90.82	Facility		$90.82	$90.82	$90.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $20.05 / $20.32	Professional		$14.36	$20.05	$20.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $18.98 / $25.81	Professional		$17.07	$18.98	$25.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $17.82 / $35.08	Facility		$14.37	$17.82	$35.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $25.91 / $39.24	Professional		$14.37	$25.91	$39.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $33.89 / $40.67	Professional		$27.11	$33.89	$40.67
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $12.60 / $20.60	Professional		$11.39	$12.60	$20.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $10.84 / $13.56	Professional		$10.57	$10.84	$13.56