Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.64 / $303.73 / $457.17	Facility		$289.64	$303.73	$457.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $15.00 / $15.29	Professional		$11.13	$15.00	$15.29
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 / $12.82	Professional		$7.09	$9.90	$12.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $8.44 / $16.55	Professional		$6.58	$8.44	$16.55