Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $96.90 / $139.72	Facility		$17.35	$96.90	$139.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $12.57 / $13.08	Professional		$10.57	$12.57	$13.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $13.34 / $21.42	Professional		$11.71	$13.34	$21.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $9.99 / $18.72	Facility		$7.66	$9.99	$18.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $15.36 / $23.51	Professional		$7.66	$15.36	$23.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $18.07 / $21.69	Professional		$14.46	$18.07	$21.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $8.68 / $10.99	Professional		$6.51	$8.68	$10.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $7.23 / $14.20	Professional		$5.64	$7.23	$14.20