Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.31 / $133.31 / $133.31	Facility		$133.31	$133.31	$133.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $10.41 / $14.07	Professional		$7.04	$10.41	$14.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $8.86 / $11.23	Professional		$5.85	$8.86	$11.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $7.70 / $18.21	Facility		$4.01	$7.70	$18.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.41 / $20.13	Professional		$4.07	$6.41	$20.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $16.88 / $21.11	Professional		$13.37	$16.88	$21.11
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $6.68 / $9.47	Professional		$3.54	$6.68	$9.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $7.04 / $11.19	Professional		$5.49	$7.04	$11.19