Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $33.11	Professional		$21.88	$25.12	$33.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $22.39 / $25.70	Professional		$8.51	$22.39	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.05 / $36.31	Facility		$14.79	$19.05	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.38 / $97.72	Professional		$14.79	$21.38	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $53.70	Professional		$27.54	$30.90	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $18.20 / $83.18	Facility		$11.75	$18.20	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.60 / $25.12	Professional		$12.59	$16.60	$25.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $27.54 / $41.69	Professional		$10.96	$27.54	$41.69