Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.42 / $190.81 / $209.99	Facility		$174.42	$190.81	$209.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $16.73 / $17.23	Professional		$15.00	$16.73	$17.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $18.38 / $25.16	Professional		$15.57	$18.38	$25.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $15.10 / $29.74	Facility		$11.28	$15.10	$29.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $17.92 / $33.04	Professional		$11.28	$17.92	$33.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $27.58 / $34.47	Professional		$21.83	$27.58	$34.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $11.49 / $20.91	Professional		$9.90	$11.49	$20.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $11.49 / $18.27	Professional		$8.96	$11.49	$18.27