Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $56.23 / $93.33	Facility		$13.80	$56.23	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $18.62	Professional		$10.00	$12.30	$18.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $10.96 / $12.59	Professional		$4.79	$10.96	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $9.55 / $17.78	Facility		$7.24	$9.55	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $47.86	Professional		$7.24	$10.47	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.14 / $26.92	Professional		$13.80	$15.14	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $6.46 / $34.67	Facility		$5.75	$6.46	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.32 / $18.62	Professional		$6.17	$8.32	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $13.49 / $20.42	Professional		$5.37	$13.49	$20.42