Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $315.54 / $1,114.26	Facility		$12.48	$315.54	$1,114.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $12.65 / $15.49	Professional		$11.13	$12.65	$15.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $15.57 / $25.16	Professional		$13.66	$15.57	$25.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $11.68 / $21.83	Facility		$8.94	$11.68	$21.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $17.92 / $27.43	Professional		$8.94	$17.92	$27.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $20.23 / $25.31	Professional		$16.03	$20.23	$25.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $9.90 / $15.15	Professional		$7.09	$9.90	$15.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $8.44 / $16.55	Professional		$6.58	$8.44	$16.55