Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $43.46 / $175.85	Facility		$25.02	$43.46	$175.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.96 / $33.42	Professional		$19.55	$24.96	$33.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $25.79 / $41.48	Professional		$22.63	$25.79	$41.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $19.34 / $35.90	Facility		$14.81	$19.34	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $29.69 / $45.71	Professional		$14.81	$29.69	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $34.93 / $41.91	Professional		$27.94	$34.93	$41.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $16.76 / $25.20	Professional		$12.57	$16.76	$25.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $13.97 / $27.42	Professional		$10.90	$13.97	$27.42