Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.90 / $54.95	Facility		$23.99	$38.90	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.84 / $56.23	Professional		$17.38	$28.84	$56.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $26.30 / $30.20	Professional		$11.48	$26.30	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.39 / $42.66	Facility		$17.38	$22.39	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $37.15 / $165.96	Professional		$17.38	$37.15	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $63.10	Professional		$32.36	$35.48	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $15.49 / $24.55	Facility		$13.80	$15.49	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $29.51	Professional		$14.79	$19.50	$29.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $32.36 / $48.98	Professional		$12.59	$32.36	$48.98