Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $114.82	Professional		$19.05	$22.91	$114.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $20.42 / $23.44	Professional		$7.76	$20.42	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.78 / $33.11	Facility		$13.49	$17.78	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $89.13	Professional		$13.49	$19.50	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $48.98	Professional		$25.70	$28.18	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.02 / $20.89	Facility		$10.72	$12.02	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $23.44	Professional		$11.48	$15.14	$23.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.12 / $38.02	Professional		$10.00	$25.12	$38.02