Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $35.79	Facility		$26.88	$26.88	$35.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $27.67 / $28.93	Professional		$13.38	$27.67	$28.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $27.00 / $36.72	Professional		$24.30	$27.00	$36.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $25.35 / $49.91	Facility		$20.21	$25.35	$49.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $36.71 / $55.24	Professional		$18.23	$36.71	$55.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $48.21 / $57.86	Professional		$38.57	$48.21	$57.86
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $19.29 / $29.31	Professional		$16.20	$19.29	$29.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.43 / $19.29	Professional		$15.04	$15.43	$19.29