Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $35.86 / $94.29	Facility		$25.07	$35.86	$94.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.32 / $24.45	Professional		$15.56	$19.32	$24.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $20.53 / $32.97	Professional		$18.01	$20.53	$32.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $15.39 / $28.59	Facility		$11.78	$15.39	$28.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $23.62 / $36.13	Professional		$11.78	$23.62	$36.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $27.79 / $33.35	Professional		$22.23	$27.79	$33.35
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.23 / $16.89	Professional		$10.00	$13.23	$16.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $11.12 / $21.82	Professional		$8.67	$11.12	$21.82