Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $165.96 / $239.88	Facility		$57.54	$165.96	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $32.36	Professional		$16.98	$20.89	$32.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $21.88 / $25.12	Professional		$5.75	$21.88	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $35.48	Facility		$14.45	$17.78	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $31.62 / $138.04	Professional		$14.45	$31.62	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $40.74	Professional		$25.70	$28.18	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.59 / $20.42	Facility		$11.48	$12.59	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.59 / $24.55	Professional		$11.48	$12.59	$24.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $40.74	Professional		$10.47	$13.49	$40.74