Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Facility		$58.40	$58.40	$58.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $14.55 / $23.86	Professional		$10.27	$14.55	$23.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $17.91 / $28.90	Professional		$15.71	$17.91	$28.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $13.44 / $25.10	Facility		$10.28	$13.44	$25.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $20.61 / $31.78	Professional		$10.28	$20.61	$31.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $24.25 / $29.10	Professional		$19.39	$24.25	$29.10
United Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $11.39 / $14.74	Professional		$8.73	$11.39	$14.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $9.69 / $19.04	Professional		$7.57	$9.69	$19.04