Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $22.91 / $239.88	Facility		$14.13	$22.91	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $23.44	Professional		$14.13	$16.98	$23.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $15.14 / $17.38	Professional		$5.75	$15.14	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $13.18 / $24.55	Facility		$10.00	$13.18	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $66.07	Professional		$10.00	$14.45	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.89 / $28.18	Professional		$19.05	$20.89	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $11.48 / $75.86	Facility		$7.94	$11.48	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $17.38	Professional		$7.94	$11.22	$17.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $18.62 / $28.18	Professional		$7.41	$18.62	$28.18