Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $20.89	Professional		$15.85	$19.50	$20.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $17.38 / $19.95	Professional		$6.46	$17.38	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.14 / $28.18	Facility		$11.48	$15.14	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $75.86	Professional		$11.48	$16.60	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $41.69	Professional		$21.88	$23.99	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $14.13 / $60.26	Facility		$9.12	$14.13	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.88 / $19.95	Professional		$9.77	$12.88	$19.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $21.38 / $32.36	Professional		$8.51	$21.38	$32.36